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Contact Information

DMITRIY GENERALOV, DO
240 MEETING HOUSE LN
SOUTHAMPTON, NY11968-5009
 Phone: 646-462-9016
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for DMITRIY GENERALOV · (Male)

NPI Number 1871080911
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/14/2018
Last updated 09/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 314877
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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