Individual
ANTHONY S DIMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9028 VAN WYCK EXPY, JHMC-NURSING HOME COMPANY INC., TRUMP PAVILION NURSING, JAMAICA, NY 11418-2898
(718) 206-5234
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7887
(631) 454-4163
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157217
NY
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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