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NPI Code Detail

MEDICARE: LINDA P DILLMAN APRN-BC, GNP

MEDICARE: LINDA P DILLMAN APRN-BC, GNP
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
1363LG0600XGerontology Nurse PractitionerF340016NY
2363LG0600XGerontology Nurse Practitioner26NN10125000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871649269
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA P DILLMAN APRN-BC, GNP
Provider Business Mailing Address
First Line : E5 CONTEMPRA CIR
Second Line :
City : TAPPAN
State : NY
Zip : 10983-2035
Country : US
Telephone Number : 845-365-1224
Fax Number : 212-342-0200
Provider Business Practice Location Address
First Line : 99 FORT WASHINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10032-4655
Country : US
Telephone Number : 212-342-2290
Fax Number : 212-342-0200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/08/2007

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