Provider Demographics
NPI:1205024833
Name:FRANCINE P. DIMARIA D.O. P.C.
Entity Type:Organization
Organization Name:FRANCINE P. DIMARIA D.O. P.C.
Other - Org Name:FAMILY MEDICAL CARE OF BABYLON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:P
Authorized Official - Last Name:DIMARIA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:631-667-9440
Mailing Address - Street 1:2090 DEER PARK AVE
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-2129
Mailing Address - Country:US
Mailing Address - Phone:631-667-9440
Mailing Address - Fax:631-667-3018
Practice Address - Street 1:2090 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-2129
Practice Address - Country:US
Practice Address - Phone:631-667-9440
Practice Address - Fax:631-667-3018
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCINE P. DIMARIA D.O. P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212747207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH50603Medicare UPIN
NYH44210Medicare UPIN