Provider Demographics
NPI:1538259965
Name:DIPALO, FRANCIS JOHN (DO)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JOHN
Last Name:DIPALO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:200 EAST MAIN STREET
Mailing Address - Street 2:SUITE 2 EAST
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-265-0266
Mailing Address - Fax:631-265-0443
Practice Address - Street 1:200 EAST MAIN STREET
Practice Address - Street 2:SUITE 2 EAST
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787
Practice Address - Country:US
Practice Address - Phone:631-265-0266
Practice Address - Fax:631-265-0443
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2007-10-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2194531207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02172750Medicaid
NY02172750Medicaid
NYFD093S8310Medicare PIN