Individual
DR. CONNIE LEE DIMARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
114E 27TH ST, NEW YORK, NY 10016-8969
(212) 807-6120
(212) 683-4361
Mailing address
36 7TH AVE, NEW YORK, NY 10011-6609
(212) 807-6120
(212) 807-6121
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
147391
NY
207W00000X
Ophthalmology Physician
47783
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64208
UNITED HEALTH CARE
NY
01
—
9751276
CIGNA
NY
01
—
P407820
OXFORD
NY
Enumeration date
01/25/2007
Last updated
07/08/2015
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