Ivan G Dimich M.D.

NPI 1134442999 - Pediatrics - 2080P0202X

NPI Details
NPI 1134442999
Gender Male
Enumeration Date 03/09/2010
Last Updated 03/09/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
201EAST79THSTREETSUITE
20 E
NEW YORK NY, 10075-0836, US
Phone (212) 734-8232
Fax
Business Location
201EAST79THSTREETSUITE20E
NEW YORK NY, 10075-0836, US
Phone (212) 734-8232
Fax
Toxanomy
Taxonomy Code 2080P0202X
License State New York
License Number 1045571
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According to our database, Dr. Ivan G Dimich M.D. NPI is 1134442999, taxonomy code is 2080P0202X and license number is 1045571, license state is located at New York. Ivan G Dimich M.D. physically located at 201east79thstreetsuite, New York NY, 10075-0836. NPI Number Ivan G Dimich M.D. has the Individual type.

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1134442999 NPI number is provided on an as is basis without warranty of any kind. 1134442999 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan G Dimich M.D. are for informational purposes only.