Individual
JOSEPH DIMARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
30 FOUNTAIN ST, HICKSVILLE, NY 11801-3120
(516) 935-4647
Mailing address
30 FOUNTAIN ST, HICKSVILLE, NY 11801-3120
(516) 935-4647
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23-006938
NY
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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