Individual
DR. JOHN RICHARD DIMARINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM PODIATRIST
Contact information
Practice address
4801 42 STREET, 2A, LONG ISLAND CITY, NY 11104-3117
(718) 729-8999
Mailing address
4801 42 STREET, 2A, LONG ISLAND CITY, NY 11104-3117
(718) 729-8999
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0024251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70644
GHI
NY
01
—
P2759
BLUE CROSS
NY
Enumeration date
03/20/2007
Last updated
07/08/2007
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