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Contact Information

DIMPLE PUTHETHUKUDI GEORGE, N P
101 HOSPITAL ROAD
BROOK HAVEN HOSPITAL MEDICAL CENTER
PATCHOGUE, NY11772
 Phone: 631-654-7214
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DIMPLE PUTHETHUKUDI GEORGE · (Female)

NPI # 1194100537
Status Active
Credentials N P
Entity Individual
Enumeration date 07/28/2015
Last updated 07/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NY License # F307244
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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