Provider Demographics
NPI:1194888297
Name:DINES, JOSHUA SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:SCOTT
Last Name:DINES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:333 EARLE OVINGTON BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-3645
Mailing Address - Country:US
Mailing Address - Phone:646-872-1890
Mailing Address - Fax:516-482-9217
Practice Address - Street 1:333 EARLE OVINGTON BLVD
Practice Address - Street 2:STE 106
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553
Practice Address - Country:US
Practice Address - Phone:516-482-1037
Practice Address - Fax:516-482-9217
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2021-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA94017207XX0005X
NY237583207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine