Organization
DINOVITSER MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY DINOVITSER D.O. (OWNER)
(646) 400-2482
Entity
Organization
Contact information
Practice address
29 N MAIN ST, ELLENVILLE, NY 12428-1082
(845) 798-5244
(866) 788-0859
Mailing address
PO BOX 201, SOUTH FALLSBURG, NY 12779-0201
(646) 400-2482
(866) 788-0859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
262529
NY
Other
Enumeration date
07/25/2013
Last updated
02/03/2014
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