Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 237583 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A94017 | CA |
NPI | 1194888297 |
---|---|
Provider Name | Dr. Joshua Scott Dines |
First Address | Uniondale, NY 11553-3645 |
Second Address | Uniondale, NY 11553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 30/03/2021 |