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Individual

RICHARD DI FIORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3033 STEINWAY ST, ASTORIA, NY 11103
(718) 874-9778
(224) 235-4652
Mailing address
PO BOX 32, NORTHBROOK, IL 60065-0032
(847) 593-8460
(224) 235-4652

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
257864-1
NY
2086S0129X
Vascular Surgery Physician
048880
CT
2086S0129X
Vascular Surgery Physician
Primary
257864
NY
2086S0129X
Vascular Surgery Physician
25MA09006600
NJ
2086S0129X
Vascular Surgery Physician
35.092142
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0284611
NJ
05
03251310
NY
01
0548970
CIGNA
NJ
01
3875795000
AMERIHEALTH
NJ
01
8395783
AETNA
NJ
Enumeration date
06/13/2007
Last updated
10/15/2018
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