Individual provider · Type 1 NPI
Ignazio James Dimino, P.A.
Medical Physician Assistant · Brooklyn, NY
NPI number
1457409120
Active
Practice location
4802 10th Ave
Brooklyn, NY 11219-2916
Fax (718) 283-8498
Mailing address
7 Hannah Mount Dr
Clarksburg, NJ 08510-1723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 007169 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1457409120
Ignazio James Dimino, P.A.'s National Provider Identifier is 1457409120, issued on Jan 8, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.