Individual provider · Type 1 NPI
Charles Gian Dipierro, MD, MS, PhD, MPH
General Practice Physician · Stony Brook, NY
NPI number
1457659062
Active
Practice location
100 Nicolls Rd, Suny Stony Brook, Dept. Of Preventive Medicine, Hsc L3
Stony Brook, NY 11794-0001
Mailing address
PO Box 1559, Suny Stony Brook, Dept. Of Preventive Medicine
Stony Brook, NY 11790-0989
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 0101052873 (VA) |
| General Practice Physician | 208D00000X | 25MA07921600 (NJ) |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 264574 (NY) |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 0101052873 (VA) |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 25MA07921600 (NJ) |
| General Practice Physician Primary | 208D00000X | 264574 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1457659062
Charles Gian Dipierro, MD, MS, PhD, MPH's National Provider Identifier is 1457659062, issued on Mar 6, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Stony Brook, NY. The record was last updated on Aug 28, 2014.