Provider Demographics
NPI:1174921597
Name:BETH H. DINKIN, M.S.
Entity type:Organization
Organization Name:BETH H. DINKIN, M.S.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:H
Authorized Official - Last Name:DINKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-734-3087
Mailing Address - Street 1:9411 71ST AVE
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6702
Mailing Address - Country:US
Mailing Address - Phone:917-734-3087
Mailing Address - Fax:
Practice Address - Street 1:9411 71ST AVE
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6702
Practice Address - Country:US
Practice Address - Phone:917-734-3087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty