Dimichino, Ben R
Dimichino, Ben R is an individual health care provider with primary practice located at 35 Shore Rd , East Setauket NY 11733-3920. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Dimichino, Ben R can be contacted via phone (631) 689-0202.Contact Information
Primary practice address
35 Shore Rd
East Setauket NY 11733-3920
Phone: (631) 689-0202
Fax: (631) 689-2686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004656 | New York |
Profile Details
| NPI number | 1760593867 |
|---|---|
| LBN Legal business name | Dimichino, Ben R |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Apr 2nd, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760593867 | NPPES |
| Other | 114212 | VYTRA | |
| Other | 792279 | VYTRA | |
| MEDICAID | 01590385 | VYTRA | |
| Other | P2545365 | VYTRA | |
| Other | AA47838 | VYTRA | |
| Other | 4450726 | VYTRA | |
| Other | 1C1330 | VYTRA |
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