Provider Demographics
NPI:1164466967
Name:STRACHAN, DINA (MD)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:
Last Name:STRACHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E 37TH ST OFC UNITC
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3156
Mailing Address - Country:US
Mailing Address - Phone:212-627-1004
Mailing Address - Fax:212-473-2309
Practice Address - Street 1:150 E 37TH ST OFC UNITC
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3156
Practice Address - Country:US
Practice Address - Phone:212-627-1004
Practice Address - Fax:212-473-2309
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY218802207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG46273Medicare UPIN
13U731Medicare PIN