Individual
DENNIS DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
400 MONTAUK HWY, SUITE 108, WEST ISLIP, NY 11795-4429
(631) 482-9192
(631) 482-9195
Mailing address
340 MONTAUK HWY, STE 1, WEST ISLIP, NY 11795-4437
(631) 422-9530
(631) 376-1208
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
006337
NY
363A00000X
Physician Assistant
Primary
006337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970027340
RAILROAD MEDICARE
NY
Enumeration date
09/20/2006
Last updated
01/15/2021
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