Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101238417 | VA |
N | 207X00000X | Orthopaedic Surgeon | 25MA08399600 | NJ |
N | 207X00000X | Orthopaedic Surgeon | ME133003 | FL |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 204567 | NY |
NPI | 1477530111 |
---|---|
Provider Name | Paul Anthony Dicpinigaitis |
First Address | Glen Head, NY 11545-3102 |
Second Address | New Hyde Park, NY 11042-1113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2005 |
Last Update Date | 20/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
JA440Z | MEDICARE (01) | FL |