Provider Demographics
NPI:1275532988
Name:DIMAIO, FRANK ROSARIO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:ROSARIO
Last Name:DIMAIO
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:PO BOX 1054
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-1054
Mailing Address - Country:US
Mailing Address - Phone:631-629-2479
Mailing Address - Fax:631-465-6524
Practice Address - Street 1:877 STEWART AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-4803
Practice Address - Country:US
Practice Address - Phone:516-325-7310
Practice Address - Fax:516-325-7311
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185259-1207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01544738Medicaid
NYF60485Medicare UPIN
NY01544738Medicaid