Individual
DR. ROBERT MORRIS DIMICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
666 10TH ST, BROOKLYN, NY 11215-4502
(718) 965-7188
(718) 768-7739
Mailing address
666 10TH STREET, BROOKLYN, NY 11215
(718) 965-7188
(718) 768-7739
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
NOO4223
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000050014
GHI MEDICARE PIN
NY
01
—
0003351
GHI PIN
NY
01
—
P1003380
OXFORD PIN
NY
Enumeration date
10/01/2006
Last updated
01/25/2008
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