Individual
JOSEPH DIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2005 DEER PARK AVE, SUITE D, DEER PARK, NY 11729-2700
(631) 243-6690
(631) 595-1502
Mailing address
2005 DEER PARK AVE, SUITE D, DEER PARK, NY 11729-2700
(631) 243-6690
(631) 595-1502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
163417
NY
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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