Individual
JAMES DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
(315) 787-5100
(315) 787-5108
Mailing address
200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
(315) 787-5100
(315) 787-5108
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
124504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102240CK
PREFERRED CARE
NY
01
—
297937
GHI
NY
05
—
456313
—
NY
01
—
P00003452
R.R. MEDICARE
NY
Enumeration date
11/14/2006
Last updated
07/08/2007
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