Dr Dean Natale Licurgo, DO | |
1000 Montauk Hwy, West Islip, NY 11795-4927 | |
(631) 376-3000 | |
Not Available |
Full Name | Dr Dean Natale Licurgo |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1000 Montauk Hwy, West Islip, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285194001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 322390 (New York) | Secondary |
207P00000X | Emergency Medicine | 322390 (New York) | Primary |
Entity Name | Good Samaritan Hospital Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518901180 PECOS PAC ID: 5294639951 Enrollment ID: O20031124000491 |
Entity Name | Wsnchs North, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881799153 PECOS PAC ID: 1254222938 Enrollment ID: O20040323000142 |
Entity Name | Samaritan Emergency Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104978014 PECOS PAC ID: 7012016660 Enrollment ID: O20070621000503 |
Mailing Address | Practice Location Address |
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Dr Dean Natale Licurgo, DO 1000 Montauk Hwy, West Islip, NY 11795-4927 Ph: (631) 376-3000 | Dr Dean Natale Licurgo, DO 1000 Montauk Hwy, West Islip, NY 11795-4927 Ph: (631) 376-3000 |
Dr. Emilissa Jane Domingo, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4045 | |
Dr. Joseph Umberto Artale, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-1000 | |
Dr. Genevieve Theresa Mcgerald, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4045 | |
Mr. Lucas Walker Lee, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Geraldine Simons, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4000 | |
Sanford Glantz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Reine James, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4000 |