Individual provider · Type 1 NPI

Dwight Carlton De Risi, MD

Surgical Oncology Physician · Great Neck, NY

NPI number 1902876204 Active

Practice location

1010 Northern Blvd
Great Neck, NY 11021-5306

Call (516) 487-8888 Map

Fax (516) 487-8887

Mailing address

1500 Route 112 Bldg 4
Port Jefferson Station, NY 11776-8055

Specialties and licenses

TaxonomyCodeLicense
Surgical Oncology Physician Primary 2086X0206X124921 (NY)

Surgical Oncology Physician: A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

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About NPI 1902876204

Dwight Carlton De Risi, MD's National Provider Identifier is 1902876204, issued on Jan 26, 2006. The primary taxonomy on file is Surgical Oncology Physician (2086X0206X), and the practice location is in Great Neck, NY. The record was last updated on Jan 17, 2020.