Individual
DR. CHARLES GIAN DIPIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS, PHD, MPH
Contact information
Practice address
100 NICOLLS RD, SUNY STONY BROOK, DEPT. OF PREVENTIVE MEDICINE, HSC L3, STONY BROOK, NY 11794-0001
(631) 444-3902
Mailing address
PO BOX 1559, SUNY STONY BROOK, DEPT. OF PREVENTIVE MEDICINE, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
0101052873
VA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
25MA07921600
NJ
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
264574
NY
208D00000X
General Practice Physician
0101052873
VA
208D00000X
General Practice Physician
25MA07921600
NJ
208D00000X
General Practice Physician
Primary
264574
NY
Other
Enumeration date
03/06/2011
Last updated
08/28/2014
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