Individual provider · Type 1 NPI

Paul A. Dicono, PA-C

Surgical Physician Assistant · Bay Shore, NY

NPI number 1942592464 Active

Practice location

301 E Main St
Bay Shore, NY 11706-8408

Call (631) 968-3222 Map

Mailing address

26 Arrowood Ln
Melville, NY 11747-1545

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X014222 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1942592464

Paul A. Dicono, PA-C's National Provider Identifier is 1942592464, issued on May 3, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bay Shore, NY. The record was last updated on May 3, 2011.