Provider Demographics
NPI:1598835365
Name:DINOLFO URBAN LLP
Entity Type:Organization
Organization Name:DINOLFO URBAN LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:URBAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-544-5880
Mailing Address - Street 1:1283 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-2728
Mailing Address - Country:US
Mailing Address - Phone:585-544-5880
Mailing Address - Fax:585-544-3327
Practice Address - Street 1:1283 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-2728
Practice Address - Country:US
Practice Address - Phone:585-544-5880
Practice Address - Fax:585-544-3327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY140202207V00000X
NY200347207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB75557Medicare UPIN
NYAA0701Medicare ID - Type Unspecified
NYF48014Medicare UPIN