Organization
HEALTH ONE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY DICANIO DO (MEDICAL DIRECTOR)
(631) 580-1000
Entity
Organization
Contact information
Practice address
2780 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755-2124
(631) 580-1000
Mailing address
2780 MIDDLE COUNTRY RD, LAKE GROVE, NY 11755-2124
(631) 580-1000
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
X007674
NY
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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