Individual
DR. ROBERT ANTHONY DIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
175 COMMUNITY DR, GREAT NECK, NY 11021-5502
(516) 465-1900
(516) 465-1830
Mailing address
1983 MARCUS AVE, LONG ISLAND JEWISH MEDICAL CTR, LAKE SUCCESS, NY 11042-1016
(516) 802-6121
(516) 616-5801
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
034052
NY
2084N0600X
Clinical Neurophysiology Physician
Primary
016046
NY
Other
Enumeration date
04/27/2006
Last updated
03/17/2010
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