MEDICARE: DR. STEVE A DICAIRANO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	163094	NY

General Provider Information

NPI Number	:	1134216641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVE A DICAIRANO M.D.

Provider Business Mailing Address
First Line	:	2700 WESTCHESTER AVE
Second Line	:
City	:	PURCHASE
State	:	NY
Zip	:	10577-2547
Country	:	US
Telephone Number	:	914-682-6538
Fax Number	:	914-457-1583

Provider Business Practice Location Address
First Line	:	559 GRAMATAN AVE
Second Line	:	SUITE 210
City	:	MT. VERNON
State	:	NY
Zip	:	10552-2155
Country	:	US
Telephone Number	:	914-668-7333
Fax Number	:	914-668-7410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	10/16/2013

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