Gary Dicanio, DO | |
2780 Middle Country Rd, Lake Grove, NY 11755-2124 | |
(631) 580-1000 | |
(631) 580-0483 |
Full Name | Gary Dicanio |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 2780 Middle Country Rd, Lake Grove, 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 |
---|---|---|---|
1770665721 | NPI | - | NPPES |
210161 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 210161 (New York) | Primary |
207V00000X | Obstetrics & Gynecology | 210161 (New York) | Secondary |
Entity Name | Health 1 Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639124571 PECOS PAC ID: 7416039060 Enrollment ID: O20080205000063 |
Entity Name | Quest Medical Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558792549 PECOS PAC ID: 4183941081 Enrollment ID: O20150401002327 |
Mailing Address | Practice Location Address |
---|---|
Gary Dicanio, DO 2780 Middle Country Rd, Lake Grove, NY 11755-2124 Ph: (631) 580-1000 | Gary Dicanio, DO 2780 Middle Country Rd, Lake Grove, NY 11755-2124 Ph: (631) 580-1000 |
Dr. Jake A Hunter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4 Smith Haven Mall Ste 202, Lake Grove, NY 11755 Phone: 631-444-5858 Fax: 631-444-1899 | |
Dr. Mark J Jagust, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2835 Middle Country Rd, Lake Grove, NY 11755 Phone: 631-467-3564 Fax: 631-471-2236 | |
Kamalpreet Buttar, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 4 Smith Haven Mall Ste 202, Lake Grove, NY 11755 Phone: 631-444-7947 Fax: 631-444-7447 |