Individual
MICHAEL DIMURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6376 76TH ST, MIDDLE VILLAGE, NY 11379-1302
(347) 860-0741
Mailing address
6376 76TH ST, MIDDLE VILLAGE, NY 11379-1302
(347) 860-0741
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004072-1
NY
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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