James J. Di Maio, Md, Pc | |
175 Westbury Ave Carle Place NY 11514-1223 | |
(516) 876-9121 | |
Not Available |
Full Name | James J. Di Maio, Md, Pc |
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Speciality | Internal Medicine |
Location | 175 Westbury Ave, Carle Place, New York |
Authorized Official Name and Position | James J. Di Maio (PHYSICIAN) |
Authorized Official Contact | 5168769121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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James J. Di Maio, Md, Pc 175 Westbury Ave Carle Place NY 11514-1223 Ph: (516) 876-9121 | James J. Di Maio, Md, Pc 175 Westbury Ave Carle Place NY 11514-1223 Ph: (516) 876-9121 |
NPI Number | 1861670119 |
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Provider Enumeration Date | 02/07/2008 |
Last Update Date | 02/07/2008 |
Medicare PECOS PAC ID | 4981787785 |
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Medicare Enrollment ID | O20080218000335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861670119 | NPI | - | NPPES |
01731828 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 203338 (New York) | Primary |
Provider Name | James Dimaio |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457379570 PECOS PAC ID: 4284626367 Enrollment ID: I20040330001860 |
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