Provider Demographics
NPI:1285604652
Name:DILEO, FRANK (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:DILEO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:365 COUNTY RD 39A
Mailing Address - Street 2:BENTON PLAZA STE 2
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968
Mailing Address - Country:US
Mailing Address - Phone:631-283-3677
Mailing Address - Fax:631-283-3699
Practice Address - Street 1:365 COUNTY RD 39A
Practice Address - Street 2:BENTON PLAZA STE 2
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968
Practice Address - Country:US
Practice Address - Phone:631-283-3677
Practice Address - Fax:631-283-3699
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2012-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1507011207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00983239Medicaid
C09930Medicare UPIN
NY00983239Medicaid