Provider Demographics
NPI:1134216641
Name:DICAIRANO, STEVE A (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:A
Last Name:DICAIRANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2700 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-682-6538
Mailing Address - Fax:914-457-1583
Practice Address - Street 1:559 GRAMATAN AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MT. VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-2155
Practice Address - Country:US
Practice Address - Phone:914-668-7333
Practice Address - Fax:914-668-7410
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163094207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB15553Medicare UPIN
NY50D011Medicare ID - Type Unspecified