Individual provider · Type 1 NPI

Calvin Dymond, RPA-C

Surgical Physician Assistant · Middletown, NY

NPI number 1811986649 Active

Practice location

95 Crystal Run Rd
Middletown, NY 10941-7001

Fax (845) 703-6297

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X010264 (NY)
Physician Assistant 363A00000X010264 (NY)
Medical Physician Assistant 363AM0700X010264 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1811986649

Calvin Dymond, RPA-C's National Provider Identifier is 1811986649, issued on Oct 14, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Middletown, NY. The record was last updated on Nov 17, 2009.