Dyne, Judith B
Dyne, Judith B is an individual health care provider with primary practice located at 1000 E Genesee St Ste 300, Syracuse NY 13210-1892. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Dyne, Judith B can be contacted via phone (315) 471-1044.Contact Information
Primary practice address
1000 E Genesee St Ste 300
Syracuse NY 13210-1892
Phone: (315) 471-1044
Fax: (315) 474-4312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | F301606 | New York |
Profile Details
| NPI number | 1902893126 |
|---|---|
| LBN Legal business name | Dyne, Judith B |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Apr 12th, 2010 - about 14 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 | 1902893126 | NPPES |
| New York | MEDICAID | 2310061 |
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