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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 15 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 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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