Dimaso, Gerald Gennaro

Dimaso, Gerald Gennaro is an sole proprietor health care provider with primary practice located at 68 Seguine Ave , Staten Island NY 10309-3723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Dimaso, Gerald Gennaro can be contacted via phone (718) 356-6500.

Contact Information

Primary practice address
68 Seguine Ave Staten Island NY 10309-3723
Phone: (718) 356-6500
Fax: (718) 356-0348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 170623 New York
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 170623 New York

Profile Details

NPI number 1477526531
LBN Legal business name Dimaso, Gerald Gennaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2006
Last updated Jan 18th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477526531 NPPES
New York MEDICAID 01119180

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