Individual
CALVIN DYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010264
NY
363AM0700X
Medical Physician Assistant
010264
NY
363AS0400X
Surgical Physician Assistant
Primary
010264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02650764
—
NY
Enumeration date
10/14/2005
Last updated
11/17/2009
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