Provider Demographics
NPI:1033179437
Name:DI CARMINE, FILIPPO (MD)
Entity Type:Individual
Prefix:DR
First Name:FILIPPO
Middle Name:
Last Name:DI CARMINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 NIEMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2025
Mailing Address - Country:US
Mailing Address - Phone:516-599-1775
Mailing Address - Fax:
Practice Address - Street 1:40 NIEMAN AVE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2025
Practice Address - Country:US
Practice Address - Phone:516-599-1775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1655822080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01085363Medicaid
NY03F541Medicare ID - Type Unspecified
NY01085363Medicaid