Organization
HEALTH 1 MEDICAL
Active
Parent organization
HEALTH 1 MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEALTH 1 MEDICAL
Authorized official
DR. GARY DICANIO DO (MEDICAL DOCTOR)
(631) 665-4392
Entity
Organization
Contact information
Practice address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 665-4392
(631) 665-5008
Mailing address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 665-4392
(631) 665-5008
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
014447
NY
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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