Provider Demographics
NPI:1093754806
Name:DINSMORE, RONALD STEPHEN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:STEPHEN
Last Name:DINSMORE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:845-838-7020
Mailing Address - Fax:845-838-6105
Practice Address - Street 1:2 PARK AVE
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-3402
Practice Address - Country:US
Practice Address - Phone:914-964-7862
Practice Address - Fax:914-964-7307
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2014-01-17
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Provider Licenses
StateLicense IDTaxonomies
NY235184207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY029GC1OtherBLUECROSS
NYP3862518OtherOXFORD
126240OtherGHI - PPO/EPO
NY113628OtherGHI - HMO
1342571OtherAETNA
NY03115446Medicaid
NY1342571OtherGHI - HMO
396846OtherMVP
6C3282OtherHEALTHNET
7441827OtherAETNA
126240OtherGHI - PPO/EPO
846E91Medicare PIN
NY03115446Medicaid