Individual
DR. RICHARD N DIMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 CAREY RD, QUEENSBURY, NY 12804-7830
(518) 793-1000
(518) 793-1976
Mailing address
PO BOX 985, GLENS FALLS, NY 12801-0985
(518) 793-1000
(518) 793-1976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
201086
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
201086
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01613074
—
NY
Enumeration date
09/19/2005
Last updated
06/09/2022
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