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NPI Code Detail

MEDICARE: DR. DEAN PAUL PAPPAS MD

MEDICARE: DR. DEAN PAUL PAPPAS MD
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
1174400000XSpecialist205432-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19141819OTHERNYPHCS
29610114OTHERNYGHI
3AA71795OTHERNYMDNY
400000093438OTHERNYBEECHSTREET
52819678OTHERNYAETNA
67006141OTHERNYAETNA MC & PPO
7030438737OTHERNYUNITED-EMPIRE PLAN
8107177OTHERNYVYTRA
92J3731OTHERNYBC/BS
102085293OTHERNYFIRST HEALTH
11P2214630OTHERNYOXFORD
1233250-POTHERNYHIP
134C1304OTHERNYPHS

General Provider Information

NPI Number : 1942205901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEAN PAUL PAPPAS MD
Provider Business Mailing Address
First Line : 1100 FRANKLIN AVE
Second Line : SUITE 203
City : GARDEN CITY
State : NY
Zip : 11530-3221
Country : US
Telephone Number : 516-248-2422
Fax Number : 516-248-5162
Provider Business Practice Location Address
First Line : 1100 FRANKLIN AVE
Second Line : SUITE 203
City : GARDEN CITY
State : NY
Zip : 11530-3221
Country : US
Telephone Number : 516-248-2422
Fax Number : 516-248-5162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 01/15/2015

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