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Organization
ROBERT M. DIMICELI
Active
Organization
ROBERT M. DIMICELI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT M DIMICELI DPM (DOCTOR)
(718) 965-7188
Entity
Organization
Contact information
Practice address
666 10TH ST, BROOKLYN, NY 11215-4502
(718) 965-7188
(718) 768-7739
Mailing address
666 10TH ST, BROOKLYN, NY 11215-4502
(718) 965-7188
(718) 768-7739
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000050014 NY
GHI MEDICARE
NY
01
—
0003351 NY
GHI
NY
01
—
P1003380 NY
OXFORD
NY
01
—
T51447 NY
UPIN
NY
Enumeration date
10/04/2007
Last updated
10/04/2007
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