DYCKMAN MEDICAL PC NPI 1225496482

NPI Information

NPI: 1225496482
Provider Name: DYCKMAN MEDICAL PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
271 E 198TH ST
GROUND FLOOR
BRONX, NY
ZIP 10458
Phone: (347) 963-4835
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DYCKMAN MEDICAL PC is a primary care clinic center in Bronx, NY. DYCKMAN MEDICAL PC NPI is 1225496482. The provider is registered as an organization entity type.

The provider's business location address is:

271 E 198TH ST
GROUND FLOOR
BRONX, NY
ZIP 10458-170
Phone: (347) 963-4835
Fax: (718) 220-4739

The provider's authorized official is Nelton Reyes .
The authorized official title is Owner and has the following contact phone number (347) 963-4835.

The enumeration date for this NPI number is 2/3/2016 and was last updated on 2/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	207304	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	01863529	MEDICAID	NEW YORK
2	G75740	MEDICARE UPIN	NEW YORK
3	41N261	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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