Provider Demographics
NPI:1538420682
Name:DINKIN, BETH H (MS)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:H
Last Name:DINKIN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 W 123RD ST APT 9G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-5039
Mailing Address - Country:US
Mailing Address - Phone:917-734-3087
Mailing Address - Fax:
Practice Address - Street 1:549 W 123RD ST APT 9G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-5039
Practice Address - Country:US
Practice Address - Phone:917-734-3087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171W00000X, 174H00000X, 222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No171W00000XOther Service ProvidersContractor
No174H00000XOther Service ProvidersHealth Educator