Provider Demographics
NPI:1609457670
Name:DINI PRECUT LLC
Entity Type:Organization
Organization Name:DINI PRECUT LLC
Other - Org Name:DINI WIGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROJECT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-262-1010
Mailing Address - Street 1:18 THIELLS MOUNT IVY RD
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:NY
Mailing Address - Zip Code:10970-3020
Mailing Address - Country:US
Mailing Address - Phone:347-675-6381
Mailing Address - Fax:
Practice Address - Street 1:18 THIELLS MOUNT IVY RD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3020
Practice Address - Country:US
Practice Address - Phone:845-262-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-20
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty