Provider Demographics
NPI:1861590812
Name:RIMALI, RONALD J (DPM)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:J
Last Name:RIMALI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OLD DOANSBURG LN
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-4911
Mailing Address - Country:US
Mailing Address - Phone:845-278-0924
Mailing Address - Fax:
Practice Address - Street 1:9 OLD DOANSBURG LN
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4911
Practice Address - Country:US
Practice Address - Phone:845-278-0924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005178213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP62502Medicare ID - Type Unspecified
480030510Medicare PIN