Healthcare Provider Details

I. General information

NPI: 1730103466
Provider Name (Legal Business Name): DINKER HARILAL BHATT MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 COMMUNITY LANE
LIBERTY NY
12754-0716
US

IV. Provider business mailing address

371 BRICKMAN RD
HURLEYVILLE NY
12747-6001
US

V. Phone/Fax

Practice location:
  • Phone: 845-292-8770
  • Fax: 845-292-4206
Mailing address:
  • Phone: 845-434-5939
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberRO382261
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: