Gerald Dimaso Mdpc
Gerald Dimaso Mdpc is a Primary Care Clinic/Center in Staten Island, New York. Licensed in New York. Registered with an NPI since 2011.
- Licensed in
- NY
- In the registry since
- 2011
Practice location Address checks out
68 Seguine AveStaten Island, NY 10309-3723
Phone: (718) 356-6500
Fax: (718) 356-0348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 170623 (NY) |
|---|
Record details
| NPI number | 1760777486 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gerald Dimaso — President · (718) 356-6500 |
| NPI enumerated | June 10, 2011 |
| Last updated in NPPES | June 10, 2011 |
| Mailing address | 69 Seguine Avenue, Staten Island, NY 10309 |
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