DWIGHT CARLTON DE RISI

GREAT NECK, NY
NPI1902876204
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086X0206X Surgery, Surgical Oncology
(Licence: NY  124921)
Enumeration Date2006-01-26
Last Update Date2020-01-17
Business Address
DWIGHT CARLTON DE RISI M.D.
1010 NORTHERN BLVD
GREAT NECK, NY 11021-5306
Phone number: 516-487-8888
Mailing Address
DWIGHT CARLTON DE RISI M.D.
1500 ROUTE 112 BLDG 4
PORT JEFFERSON STATION, NY 11776-8055
Phone number: 631-751-3000
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