IndividualActive
Robert Dimino, PHD
NPI 1306803036 · Clinical Neurophysiology Physician · Great Neck, NY
Provider details
- NPI number
- 1306803036
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 016046 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Pharmacy Service Providers
Practice location
175 Community Dr
Great Neck, NY 11021-5502
Phone: (516) 465-1900
Fax: (516) 465-1830
Approximate (ZIP-level) locationGet directions
Mailing address
1983 Marcus Ave
Lake Success, NY 11042-1016
Registry dates
- Enumerated
- 2006-04-27
- Last updated
- 2010-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.