Individual
DR. JOSEPH G DIPRIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM FAC FAS
Contact information
Practice address
2828 BAIRD RD, SUITE B, FAIRPORT, NY 14450
(585) 249-0020
(585) 586-4835
Mailing address
2828 BAIRD RD, SUITE B, FAIRPORT, NY 14450
(585) 249-0020
(585) 586-4835
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
003655
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008492162
—
NY
01
—
010003655
BLUE CHOICE
NY
01
—
8077
BLUE SHIELD
NY
Enumeration date
12/15/2006
Last updated
11/24/2009
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