GARY DICANIO, DO

Family Medicine

Active Individual
NPI: 1770665721

Practice Address

105 MEDFORD AVE
Patchogue, NY 11772

Phone: (631) 580-1000

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 210161 (NY)
Obstetrics & Gynecology 207V00000X No 210161 (NY)

Frequently Asked Questions

NPI 1770665721 is the National Provider Identifier for GARY DICANIO, DO, a Family Medicine provider located in Patchogue, NY. This NPI was enumerated on October 19, 2006.
GARY DICANIO, DO practices at 105 MEDFORD AVE, Patchogue, NY 11772.

Quick Facts

NPI
1770665721
Type
Individual
Enumerated
Oct 19, 2006
Last Updated
Nov 3, 2025

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