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Individual

PETER CECIL TAYLOR DICKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 CROSFIELD AVE, SUITE 102, WEST NYACK, NY 10994-2226
(845) 358-1344
(845) 348-8578
Mailing address
2 CROSFIELD AVE, SUITE 102, WEST NYACK, NY 10994-2226
(845) 358-1344
(845) 348-8578

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
122936
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00815912
NY
01
2X4222
EMPIRE BC/BS
NY
Enumeration date
07/21/2005
Last updated
03/10/2015
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