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NPI Code Detail

MEDICARE: MR. DMITRY ORIN

MEDICARE: MR. DMITRY ORIN
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
1183500000XPharmacist045497NY

General Provider Information

NPI Number : 1881917854
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DMITRY ORIN
Provider Business Mailing Address
First Line : 2617 E 17 ST AP 3F
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5704
Country : US
Telephone Number : 347-306-1901
Fax Number : 718-421-6185
Provider Business Practice Location Address
First Line : 2202 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3648
Country : US
Telephone Number : 631-551-5110
Fax Number : 718-616-0803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2010
Last Update Date : 10/17/2025

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Directions to “ MR. DMITRY ORIN ” Practice Location

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