Kathleen Dimaiuta, D.O.
Hospitalist in Staten Island, NY. Individual provider (NPI-1).
NPI number1679950802
StatusActive
Last updated in NPPESDec 14, 2018
Details
- NPI
- 1679950802
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Dimaiuta
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2015
- Last updated
- Dec 14, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 295325 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
475 Seaview AveStaten Island, NY 10305-3436
Phone 718-226-9000
Mailing address
247 Oakwood AveneueStaten Island, NY 10301
Phone 646-808-4520
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