Healthcare Provider Details

I. General information

NPI: 1417901349
Provider Name (Legal Business Name): GEORGE P DEMPSEY MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PANTIGO PL STE I
EAST HAMPTON NY
11937-5922
US

IV. Provider business mailing address

200 PANTIGO PLACE STE I
EAST HAMPTON NY
11937
US

V. Phone/Fax

Practice location:
  • Phone: 631-329-8430
  • Fax: 631-329-8491
Mailing address:
  • Phone: 631-329-8430
  • Fax: 631-329-8491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number185170
License Number StateNY

VIII. Authorized Official

Name: LAUREN DEMPSEY
Title or Position: OFFICE MANAGER
Credential:
Phone: 631-329-8430