Healthcare Provider Details

I. General information

NPI: 1942935689
Provider Name (Legal Business Name): DUTCHESS 3DIMAGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 IBM RD STE B
POUGHKEEPSIE NY
12601-5436
US

IV. Provider business mailing address

10 IBM RD STE B
POUGHKEEPSIE NY
12601-5436
US

V. Phone/Fax

Practice location:
  • Phone: 845-544-3421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name: DAINA DIPINTO
Title or Position: PROVIDER
Credential: RDMS
Phone: 914-306-7274