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Organization

MAIMONIDES MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IGNAZIO DIMINO PA-C (CHIEF PHYSICIAN ASSISTANT, DOM)
(718) 283-8137
Entity
Organization

Contact information

Practice address
4802 10TH AVE, DEPARTMENT OF MEDICINE ADMINISTRATION BUILDING 301, BROOKLYN, NY 11219
(718) 283-8137
Mailing address
4802 10TH AVE, DEPARTMENT OF MEDICINE ADMINISTRATION BUILDING 301, BROOKLYN, NY 11219
(718) 283-8137

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
020010-1
NY
282NC0060X
Critical Access Hospital
020010-1
NY
363A00000X
Physician Assistant
020010-1
NY

Other

Enumeration date
10/19/2016
Last updated
10/19/2016
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