Gary Dicanio, DO

NPI #1770665721 in Patchogue, New York

Provider Information

NPI Number: 1770665721
Entity Type: Individual
Name: Gary Dicanio, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Oct 19, 2006
Last Updated: Nov 3, 2025

Practice Location

Address: 105 MEDFORD AVE
City: Patchogue
State: New York
ZIP Code: 11772-1223
Phone: (631) 580-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Obstetrics & Gynecology	207V00000X

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