Kim Dickinson
Ophthalmic
51 Woodruff St
Saranac Lake
, New York 12983-1715
Kim Dickinson
Ophthalmic
51 Woodruff St
Saranac Lake
, New York 12983-1715
(518) 891-5396
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About
Features
Specialties
- Ophthalmic
Languages spoken
- English
Location
First Address
- Kim Dickinson
- 51 Woodruff St
- Saranac Lake, NY
- Zip : 12983-1715
- Fax : (518) 891-5396
- Phone : (518) 891-8412
Second Address
- Kim Dickinson
- 51 Woodruff St
- Saranac Lake, NY
- Zip : 12983-1715
- Fax : (518) 891-5396
- Phone : (518) 891-8412
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1100X | Ophthalmic | C006265-1 | NY |
National Provider Identifier
| NPI | 1699987677 |
|---|---|
| Provider Name | Kim Dickinson |
| First Address | Saranac Lake, NY 12983-1715 |
| Second Address | Saranac Lake, NY 12983-1715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.