Provider Demographics
NPI:1417901349
Name:GEORGE P DEMPSEY MD PC
Entity Type:Organization
Organization Name:GEORGE P DEMPSEY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMPSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-329-8430
Mailing Address - Street 1:200 PANTIGO PLACE STE I
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11937
Mailing Address - Country:US
Mailing Address - Phone:631-329-8430
Mailing Address - Fax:631-329-8491
Practice Address - Street 1:200 PANTIGO PL STE I
Practice Address - Street 2:
Practice Address - City:EAST HAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11937-5922
Practice Address - Country:US
Practice Address - Phone:631-329-8430
Practice Address - Fax:631-329-8491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2022-10-21
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
NY2368981Medicaid
NY37V511OtherEMPIRE BC/BS
NY17000050OtherUNITED HEALTH CARE
NYP2685423OtherOXFORD
NY2882048OtherAETNA
NYAA771859OtherMDNY
NY02368981Medicaid
NY5923355OtherCIGNA
NY=========OtherAARP
NY5923355OtherCIGNA
NY=========OtherEMPIRE GOVERNMENT PLAN
NY2882048OtherAETNA