Dwight Carlton De Risi, MD | |
1010 Northern Blvd, Great Neck, NY 11021-5306 | |
(516) 487-8888 | |
(516) 487-8887 |
Full Name | Dwight Carlton De Risi |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 51 Years |
Location | 1010 Northern Blvd, Great Neck, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902876204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | 124921 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Hospital - The Heart Center | Roslyn, NY | Hospital |
North Shore University Hospital | Manhasset, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore Hematology Oncology Associates Pc | 1456243641 | 344 |
Entity Name | North Shore Hematology Oncology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
Mailing Address | Practice Location Address |
---|---|
Dwight Carlton De Risi, MD 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8055 Ph: (631) 751-3000 | Dwight Carlton De Risi, MD 1010 Northern Blvd, Great Neck, NY 11021-5306 Ph: (516) 487-8888 |
Dr. Lewis Myles Kurtz, MD Surgery Medicare: Medicare Enrolled Practice Location: 310 East Shore Road, Suite 203, Great Neck, NY 11023 Phone: 516-482-8657 Fax: 516-829-0002 | |
Dr. Alex Michael Stone, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 37 South Dr, Great Neck, NY 11021 Phone: 516-487-9603 Fax: 516-487-9603 | |
Dr. Dennis Barek, MD Surgery Medicare: Medicare Enrolled Practice Location: 29 Wensley Dr, Great Neck, NY 11021 Phone: 516-829-6567 Fax: 516-829-7652 | |
Dr. John A Procaccino Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Northern Blvd, Great Neck, NY 11021 Phone: 516-730-2100 Fax: 516-730-2121 | |
Dimitra Theodoropoulos, M.D., FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 310 E Shore Rd, Suite 203, Great Neck, NY 11023 Phone: 516-482-8657 Fax: 516-829-0002 | |
Dr. Gregory Fried, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Effron Pl, Great Neck, NY 11020 Phone: 917-428-9969 Fax: 516-829-4711 | |
Dr. Martin L Schulman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 212 Middle Neck Rd, Great Neck, NY 11021 Phone: 516-482-4477 Fax: 516-482-7437 |