Dr Michael Dispenza, MD is a
General Practice physician based in Glendale, New York. Dr Michael Dispenza is licensed to practice in New York (license number 179288) and his current practice location is 6906 Myrtle Ave, Glendale, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 628-8047.
NPI number for Dr Michael Dispenza is 1225192503 and his current mailing address is 6906 Myrtle Ave, Glendale, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225192503.
Physician's Profile
| Full Name | Dr Michael Dispenza |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 6906 Myrtle Ave, Glendale, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225192503
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr Michael Dispenza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225192503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 179288 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Dispenza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Michael Dispenza, MD
6906 Myrtle Ave,
Glendale, NY 11385-7264
Ph: (718) 628-8047 | Dr Michael Dispenza, MD
6906 Myrtle Ave,
Glendale, NY 11385-7264
Ph: (718) 628-8047 |
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