Organization
GERALD DIMASO MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD GENNARO DIMASO MD (PRESIDENT)
(718) 356-6500
Entity
Organization
Contact information
Practice address
68 SEGUINE AVE, STATEN ISLAND, NY 10309-3723
(718) 356-6500
(718) 356-0348
Mailing address
69 SEGUINE AVENUE, STATEN ISLAND, NY 10309
(718) 356-6500
(718) 356-0348
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
170623
NY
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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