Provider Demographics
NPI:1174549547
Name:CUMMINS, DEAN R (MD PHD)
Entity type:Individual
Prefix:
First Name:DEAN
Middle Name:R
Last Name:CUMMINS
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N HIGHLAND AVE
Mailing Address - Street 2:SUITE #6
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-6300
Mailing Address - Country:US
Mailing Address - Phone:914-944-4800
Mailing Address - Fax:914-944-4848
Practice Address - Street 1:310 N HIGHLAND AVE
Practice Address - Street 2:SUITE #6
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-6300
Practice Address - Country:US
Practice Address - Phone:914-944-4800
Practice Address - Fax:914-944-4848
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196352-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ579818OtherEMPIRE MEDICARE SERVICES
NY0D3271OtherHEALTH NET
NY0D3271OtherHEALTH NET
NJ579818OtherEMPIRE MEDICARE SERVICES
NY27J301Medicare PIN
NY180041649Medicare PIN