MEDICARE: DIMAS MEDICAL CARE P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173000000X	Legal Medicine	223554	NY

General Provider Information

NPI Number	:	1871546747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIMAS MEDICAL CARE P.C.

Provider Business Mailing Address
First Line	:	2925 W 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3962
Country	:	US
Telephone Number	:	718-333-0015
Fax Number	:

Provider Business Practice Location Address
First Line	:	2925 W 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-3962
Country	:	US
Telephone Number	:	718-333-0015
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DMITRIY RATSENBERG
Credential	:	MD
Telephone Number	:	718-333-0015

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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