Dimiceli, Robert Morris

Dimiceli, Robert Morris is an sole proprietor health care provider with primary practice located at 666 10Th St , Brooklyn NY 11215-4502. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Dimiceli, Robert Morris can be contacted via phone (718) 965-7188.

Contact Information

Primary practice address
666 10Th St Brooklyn NY 11215-4502
Phone: (718) 965-7188
Fax: (718) 768-7739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X NOO4223 New York

Profile Details

NPI number 1679666937
LBN Legal business name Dimiceli, Robert Morris
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Jan 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679666937 NPPES
New York Other 0003351 GHI PIN
New York Other P1003380 GHI PIN
New York Other 00000050014 GHI PIN

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