Individual
KATHLEEN DIMAIUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
247 OAKWOOD AVENEUE, STATEN ISLAND, NY 10301
(646) 808-4520
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
295325
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2015
Last updated
12/14/2018
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