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
Phone: (845) 339-3663
Fax: (845) 339-3629
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104818343 | NPPES |
New York | MEDICAID | 01673225 |
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