Provider Demographics
NPI:1497728190
Name:DINNERMAN, ARIC MITCHELL (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARIC
Middle Name:MITCHELL
Last Name:DINNERMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26 CATHERWOOD CRES
Mailing Address - Street 2:SUITE#106
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-1508
Mailing Address - Country:US
Mailing Address - Phone:516-338-6906
Mailing Address - Fax:631-427-2332
Practice Address - Street 1:26 CATHERWOOD CRES
Practice Address - Street 2:SUITE#106
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-1508
Practice Address - Country:US
Practice Address - Phone:516-338-6906
Practice Address - Fax:631-427-2332
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-12
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN004224213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01066348Medicaid
NY02872Medicare ID - Type UnspecifiedGHI MEDICARE PROVIDER
NY01066348Medicaid
NYP45823Medicare ID - Type UnspecifiedEMPIRE MEDICARE PROVIDER