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Contact Information

CHRISTOPHER J CIMMINO, DO
83-40 WOODHAVEN BLVD
GLENDALE, NY11385-7824
 Phone: 718-441-4444
 Fax: 718-849-7854
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Legal Medicine

209800000X
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

2083S0010X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CHRISTOPHER J CIMMINO · (Male)

NPI # 1366440133
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/14/2005
Last updated 10/22/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 134874
  • NY License # 137874
  • NY Medicaid 007 998 80
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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