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

Dylan Michael Macciola, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215623491

Dylan Michael Macciola, MD is a Student in an Organized Health Care Education/Training Program in Jamaica, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8900 Van Wyck Expy
Jamaica, NY 11418-2897
Phone: (718) 206-7708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (NY)

Record details

NPI number1215623491
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 12, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023

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