Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 185259-1 | NY |
NPI | 1275532988 |
---|---|
Provider Name | Dr. Frank Rosario Dimaio |
First Address | Port Washington, NY 11050-1054 |
Second Address | Garden City, NY 11530-4803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 20/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01544738 | (05) | NY |
F60485 | (02) | NY |