Organization · Type 2 NPI

Theodore Diktaban, MD PLLC

Specialist · New York, NY

NPI number 1922391697 Active

Practice location

1016 5th Ave
New York, NY 10028-0132

Call (212) 988-5656 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X131434 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1922391697

Theodore Diktaban, MD PLLC's National Provider Identifier is 1922391697, issued on May 27, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on May 27, 2011.