Kathleen Dimaiuta, DO | |
475 Seaview Ave, Staten Island, NY 10305-3436 | |
(718) 226-9000 | |
Not Available |
Full Name | Kathleen Dimaiuta |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 9 Years |
Location | 475 Seaview Ave, Staten Island, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679950802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 295325 (New York) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Staten Island University Hospital | Staten island, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Medical Pc | 3375701568 | 5120 |
Entity Name | Physicians Of University Hospital Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Dimaiuta, DO 247 Oakwood Aveneue, Staten Island, NY 10301 Ph: (646) 808-4520 | Kathleen Dimaiuta, DO 475 Seaview Ave, Staten Island, NY 10305-3436 Ph: (718) 226-9000 |
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