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NPI Code Detail

MEDICARE: ALBERT C DIMEO M.D.

MEDICARE: ALBERT C DIMEO 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician045570CT
2207RC0000XCardiovascular Disease Physician045570CT

General Provider Information

NPI Number : 1922080050
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT C DIMEO M.D.
Provider Business Mailing Address
First Line : 100 PORT WASHINGTON BLVD
Second Line : SUITE G01
City : ROSLYN
State : NY
Zip : 11576-1347
Country : US
Telephone Number : 516-627-2173
Fax Number : 516-365-5813
Provider Business Practice Location Address
First Line : 100 PORT WASHINGTON BLVD
Second Line : SUITE G01
City : ROSLYN
State : NY
Zip : 11576-1347
Country : US
Telephone Number : 516-327-2173
Fax Number : 516-365-5813
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 04/19/2017

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