MEDICARE: GEORGE P DEMPSEY MD PC

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	207Q00000X	Family Medicine Physician	185170	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	37V511	OTHER	NY	EMPIRE BC/BS
3	17000050	OTHER	NY	UNITED HEALTH CARE
4	P2685423	OTHER	NY	OXFORD
5	2882048	OTHER	NY	AETNA
6	AA771859	OTHER	NY	MDNY
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	5923355	OTHER	NY	CIGNA

General Provider Information

NPI Number	:	1417901349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE P DEMPSEY MD PC

Provider Business Mailing Address
First Line	:	200 PANTIGO PLACE STE I
Second Line	:
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937
Country	:	US
Telephone Number	:	631-329-8430
Fax Number	:	631-329-8491

Provider Business Practice Location Address
First Line	:	200 PANTIGO PL STE I
Second Line	:
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-5922
Country	:	US
Telephone Number	:	631-329-8430
Fax Number	:	631-329-8491

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	LAUREN DEMPSEY
Credential	:
Telephone Number	:	631-329-8430

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	10/21/2022

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Directions to “GEORGE P DEMPSEY MD PC ” Practice Location

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