Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DWIGHT CARLTON DE RISI, M.D.
Active Sole ProprietorDWIGHT CARLTON DE RISI, M.D. is a Surgical Oncology healthcare provider located in GREAT NECK, New York. NPI 1902876204 is currently active in the NPPES registry. Verify at CMS.
Surgical Oncology · GREAT NECK, NY
Registration Details
- NPI Number
- 1902876204
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2006 (20.577599343274 yrs)
- Last Updated
- Jan 17, 2020
- License
-
124921 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1010 NORTHERN BLVDGREAT NECK, NY, 110215306Browse NY providers · Browse ZIP 11021
- Phone
- 5164878888
- Fax
- 5164878887
- Primary Specialty
-
Surgical Oncology
2086X0206X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.