Pierce Katahdin Dimauro, NP - Nurse Practitioner in New York, NY

Pierce Katahdin Dimauro, NP is a Nurse Practitioner - Acute Care based in New York, New York. Pierce Katahdin Dimauro is licensed to practice in New York (license number 433077) and his current practice location is 630 W 168th St, New York, New York. He can be reached at his office (for appointments etc.) via phone at (212) 305-7340.

NPI number for Pierce Katahdin Dimauro is 1750100699 and his current mailing address is 415 E 72nd St Apt 2fe, New York, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750100699.

Contact Information

Pierce Katahdin Dimauro, NP
630 W 168th St,
New York, NY 10032-3725
(212) 305-7340
Not Available

Map and Direction




Provider's Profile

Full NamePierce Katahdin Dimauro
GenderMale
SpecialityNurse Practitioner - Acute Care
Location630 W 168th St, New York, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750100699
  • Provider Enumeration Date: 10/08/2024
  • Last Update Date: 10/08/2024

Medical Identifiers

Medical identifiers for Pierce Katahdin Dimauro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750100699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 433077 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pierce Katahdin Dimauro is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pierce Katahdin Dimauro, NP
415 E 72nd St Apt 2fe,
New York, NY 10021-0099

Ph: (207) 812-6697
Pierce Katahdin Dimauro, NP
630 W 168th St,
New York, NY 10032-3725

Ph: (212) 305-7340

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