Ferdinand C Diblasio, MD | |
21 Southdown Rd, Huntington, NY 11743-2538 | |
(631) 351-3763 | |
(631) 385-8210 |
Full Name | Ferdinand C Diblasio |
---|---|
Gender | Male |
Speciality | Urology |
Location | 21 Southdown Rd, Huntington, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982614350 | NPI | - | NPPES |
2C4876 | Other | NY | HEALTHNET |
1000505 | Other | NY | GHI |
00627023 | Medicaid | NY | |
694521 | Other | NY | BLUE CROSS/ BLUE SHIELD |
CS113 | Other | NY | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 102982-1 (New York) | Primary |
Entity Name | North Shore Medical Group Of The Mount Sinai School Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275640609 PECOS PAC ID: 8921999087 Enrollment ID: O20040320000412 |
Mailing Address | Practice Location Address |
---|---|
Ferdinand C Diblasio, MD 21 Southdown Rd, Huntington, NY 11743-2538 Ph: (631) 351-3763 | Ferdinand C Diblasio, MD 21 Southdown Rd, Huntington, NY 11743-2538 Ph: (631) 351-3763 |
Dr. Charles T. Hennings, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 634 Park Ave, Huntington, NY 11743 Phone: 631-549-5075 | |
Dr. Paul Jason Shannon, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 21 Southdown Rd, Huntington, NY 11743 Phone: 631-351-3763 Fax: 631-385-8210 |