Provider Demographics
NPI:1477794584
Name:DIMAURO, JON-PAUL PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:JON-PAUL
Middle Name:PHILIP
Last Name:DIMAURO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:269-01 76TH AVENUE
Mailing Address - Street 2:365
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-0000
Mailing Address - Country:US
Mailing Address - Phone:718-470-3570
Mailing Address - Fax:718-470-3472
Practice Address - Street 1:269-01 76TH AVENUE
Practice Address - Street 2:365
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-0000
Practice Address - Country:US
Practice Address - Phone:718-470-3570
Practice Address - Fax:718-470-3472
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2012-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY261077-1207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery