Provider Demographics
NPI:1083007108
Name:GEORGE P DEMPSEY MD, PC
Entity Type:Organization
Organization Name:GEORGE P DEMPSEY MD, PC
Other - Org Name:EAST HAMPTON URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:PIERRE
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-324-9206
Mailing Address - Street 1:200 PANTIGO PL
Mailing Address - Street 2:SUITE I
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937-5920
Mailing Address - Country:US
Mailing Address - Phone:631-324-9206
Mailing Address - Fax:631-329-8291
Practice Address - Street 1:470 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-2648
Practice Address - Country:US
Practice Address - Phone:631-329-8430
Practice Address - Fax:631-329-8291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185170207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYGD037V5110OtherBLUE
NY02368981Medicare PIN
NYGD037V5110OtherBLUE