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Individual
DR. BEN R DIMICHINO
Active
Individual
DR. BEN R DIMICHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004656
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01590385
—
NY
01
—
114212
VYTRA
—
01
—
1C1330
HEALTH NET
—
01
—
4450726
AETNA
—
01
—
792279
UNITED HEALTH CARE
—
01
—
AA47838
MDNY
—
01
—
P2545365
OXFORD
—
Enumeration date
08/31/2006
Last updated
04/02/2009
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