Individual
DR. MARY JO DIMILIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 PARK AVE, NEW YORK, NY 10128-1244
(347) 746-2144
Mailing address
1150 PARK AVE, NEW YORK, NY 10128-1244
(212) 348-1454
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
197284-1
NY
208000000X
Pediatrics Physician
197284
NY
Other
Enumeration date
09/09/2007
Last updated
03/07/2014
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