Dinovitser Medical Pllc | |
29 N Main St Ellenville NY 12428-1082 | |
(845) 798-5244 | |
(866) 788-0859 |
Full Name | Dinovitser Medical Pllc |
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Speciality | Internal Medicine |
Location | 29 N Main St, Ellenville, New York |
Authorized Official Name and Position | Jay Dinovitser (OWNER) |
Authorized Official Contact | 6464002482 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dinovitser Medical Pllc Po Box 201 South Fallsburg NY 12779-0201 Ph: (646) 400-2482 | Dinovitser Medical Pllc 29 N Main St Ellenville NY 12428-1082 Ph: (845) 798-5244 |
NPI Number | 1720420235 |
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Provider Enumeration Date | 07/25/2013 |
Last Update Date | 02/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720420235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 262529 (New York) | Primary |
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