Dymond, Calvin

Dymond, Calvin is an individual health care provider with primary practice located at 95 Crystal Run Rd , Middletown NY 10941-7001. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Dymond, Calvin can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
95 Crystal Run Rd Middletown NY 10941-7001
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 010264 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010264 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 010264 New York

Profile Details

NPI number 1811986649
LBN Legal business name Dymond, Calvin
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Nov 17th, 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 1811986649 NPPES
New York MEDICAID 02650764

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