Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gary P Dibenedetto, DC

Individual provider Chiropractor · NPI 1790890580

Dr. Gary P Dibenedetto, DC is a Chiropractic in Port Jefferson Station, New York. Graduated from New York Chiropractic College in 1990, 36 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
36
Trained at
New York Chiropractic College
Licensed in
NY
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

298 Canal Rd
Port Jefferson Station, NY 11776
Phone: (631) 928-0192
Fax: (631) 928-0253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence X006475 (NY)

Record details

NPI number1790890580
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESDecember 12, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Not indicated

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