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Individual

DR. SCOTT ANDREW DINESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453-4303
(718) 583-7736
(718) 537-6180
Mailing address
2626 HALPERIN AVE, BRONX, NY 10461-2631
(718) 618-0401
(347) 479-1303

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OS007838L
PA
207V00000X
Obstetrics & Gynecology Physician
OS007938L
PA
207VG0400X
Gynecology Physician
Primary
327629
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015164050005
PA
Enumeration date
08/16/2005
Last updated
05/23/2024
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