Individual
DR. NADYA E DIMITROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10 UNION SQ E, 2N, NEW YORK, NY 10003-3314
(212) 420-4300
(212) 420-2310
Mailing address
350 OLD WILLETS PATH, SMITHTOWN, NY 11787-4120
(212) 420-4300
(631) 724-3252
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01100283
—
NY
Enumeration date
10/27/2006
Last updated
12/11/2012
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