Individual
DR. DUSTIN RANDAL CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-6262
Mailing address
1901 1ST AVE, NEW YORK, NY 10029-7494
(212) 423-6262
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10409000
NJ
208600000X
Surgery Physician
277748
NY
208600000X
Surgery Physician
Primary
MD60755257
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0659533
—
NJ
05
—
1598021834
—
WA
01
—
8967696
MEDICARE PIN
WA
Enumeration date
04/11/2012
Last updated
12/17/2021
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