Gorelov, Dmitri

Gorelov, Dmitri is an individual health care provider with primary practice located at 155 Crystal Run Rd , Middletown NY 10941-4028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gorelov, Dmitri can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
155 Crystal Run Rd Middletown NY 10941-4028
Fax: (845) 703-6297
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 253361 New York

Profile Details

NPI number 1326242868
LBN Legal business name Gorelov, Dmitri
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated Sep 9th, 2020 - about 4 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 1326242868 NPPES
New York MEDICAID 03028508

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