Dimova, Aneta K

Dimova, Aneta K is an individual health care provider with primary practice located at 111 Mary'S Ave Suite 3, Kingston NY 12401-5853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Dimova, Aneta K can be contacted via phone (845) 339-3663.

Contact Information

Primary practice address
111 Mary'S Ave Suite 3 Kingston NY 12401-5853
Fax: (845) 339-3629
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 204325 New York

Profile Details

NPI number 1104818343
LBN Legal business name Dimova, Aneta K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 29th, 2012 - about 13 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 1104818343 NPPES
New York MEDICAID 01673225

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