Dinesen, Scott Andrew

Dinesen, Scott Andrew is an individual health care provider with primary practice located at 2015 Grand Concourse , Bronx NY 10453-4303. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Dinesen, Scott Andrew can be contacted via phone (718) 583-7736.

Contact Information

Primary practice address
2015 Grand Concourse Bronx NY 10453-4303
Phone: (718) 583-7736
Fax: (718) 537-6180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS007838L Pennsylvania
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X OS007938L Pennsylvania
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 327629 New York

Profile Details

NPI number 1508858614
LBN Legal business name Dinesen, Scott Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated May 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508858614 NPPES
Pennsylvania MEDICAID 0015164050005

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