Healthcare Provider Details

I. General information

NPI: 1093465494
Provider Name (Legal Business Name): ALLISON DINAR DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 SEAVIEW AVE
STATEN ISLAND NY
10305-3401
US

IV. Provider business mailing address

450 SEAVIEW AVE
STATEN ISLAND NY
10305-3401
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-8910
  • Fax:
Mailing address:
  • Phone: 718-226-8910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number342584
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: