Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 128385 | NY |
N | 111NI0900X | Internist | 128385 | NY |
N | 207RH0000X | Hematologist | 128385 | NY |
Y | 207RH0003X | Hematology & Oncology | 128385 | NY |
N | 207RX0202X | Medical Oncology | 128385 | NY |
NPI | 1285635912 |
---|---|
Provider Name | Robert E. Dinsmore |
First Address | Middletown, NY 10941-4028 |
Second Address | Middletown, NY 10941-4028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 11/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00825874 | (05) | NY |
B12315 | (02) |