| Dr Damian P Dicostanzo, MD | |
|
100 Midland Ave, Port Chester, NY 10573-4943 | |
| (800) 942-3376 | |
| (914) 934-9819 |
| Full Name | Dr Damian P Dicostanzo |
|---|---|
| Gender | Male |
| Speciality | Pathology - Dermatopathology |
| Location | 100 Midland Ave, Port Chester, 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 |
|---|---|---|---|
| 1154300739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZD0900X | Pathology - Dermatopathology | 168313 (New York) | Primary |
| 207ZP0101X | Pathology - Anatomic Pathology | 168313 (New York) | Secondary |
| Entity Name | The Connecticut Dermatology Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699881557 PECOS PAC ID: 9032147509 Enrollment ID: O20050727000568 |
| Entity Name | Greenwich Pathology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699968974 PECOS PAC ID: 6406943422 Enrollment ID: O20071107000340 |
| Entity Name | Connecticut Skinhealth Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649606385 PECOS PAC ID: 9638309362 Enrollment ID: O20140225001960 |
| Entity Name | Schweiger Dermatology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831438662 PECOS PAC ID: 5991947160 Enrollment ID: O20220420001844 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Damian P Dicostanzo, MD 14275 Midway Rd, Suite 400, Addison, TX 75001-3614 Ph: (214) 932-8029 | Dr Damian P Dicostanzo, MD 100 Midland Ave, Port Chester, NY 10573-4943 Ph: (800) 942-3376 |
Dr. Naghmeh Yousefzadeh, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 Midland Ave, Port Chester, NY 10573 Phone: 914-934-5836 Fax: 914-934-9819 | |
Dr. Alan J Halperin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 Midland Ave, Port Chester, NY 10573 Phone: 800-942-3376 Fax: 914-934-9819 | |
Dr. Kenneth J Shulman, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 100 Midland Ave, Port Chester, NY 10573 Phone: 800-942-3376 Fax: 914-934-9819 | |
Patrick S Brunhoeber, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 Midland Ave, Port Chester, NY 10573 Phone: 800-942-3376 Fax: 914-934-9819 | |
Marie C Sicari, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 100 Midland Ave, Port Chester, NY 10573 Phone: 914-934-9739 Fax: 914-934-9819 | |
Dr. Ekaterina Castano, MD Pathology Medicare: Medicare Enrolled Practice Location: 10 Pearl St Fl 4, Port Chester, NY 10573 Phone: 914-937-3300 Fax: 914-937-3322 |