Individual
DAVID SAMUEL DINELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2380 CHERRY VALLEY TURNPIKE, MARCELLUS, NY 13108
(315) 673-3056
Mailing address
2380 CHERRY VALLEY TURNPIKE, MARCELLUS, NY 13108
(315) 673-3056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J400003161
PTAN # WITH NORTH MEDICAL, PC
NY
Enumeration date
11/08/2006
Last updated
06/21/2023
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