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

Gary Dicanio, DO

Individual provider Family Medicine Physician · NPI 1770665721

Gary Dicanio, DO is an Obstetrics/Gynecology in Patchogue, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1993, 33 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

105 Medford Ave
Patchogue, NY 11772-1223
Phone: (631) 580-1000
Fax: (631) 580-0483
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 210161 (NY)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 210161 (NY)

Record details

NPI number1770665721
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address105 Medford Ave, Patchogue, NY 11772-1223

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Also practisesFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Patchogue