Joseph Dic, D.O.
Family Medicine in Deer Park, NY. Individual provider (NPI-1).
NPI number1376569707
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1376569707
- Entity type
- Individual (NPI-1)
- Name
- Joseph Dic
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 163417 | NY | Yes |
Practice location
2005 Deer Park AveSuite D
Deer Park, NY 11729-2700
Phone 631-243-6690 · Fax 631-595-1502
Mailing address
2005 Deer Park AveSuite D
Deer Park, NY 11729-2700
Phone 631-243-6690 · Fax 631-595-1502
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