Deitrick, George

Deitrick, George is an individual health care provider with primary practice located at 130 W Kingsbridge Rd James J . Peters Va Medical Center, Bronx NY 10468-3904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is his primary health care specialty. Deitrick, George can be contacted via phone (718) 584-9000.

Contact Information

Primary practice address
130 W Kingsbridge Rd James J . Peters Va Medical Center Bronx NY 10468-3904
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 188018-1 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 188018-1 New York

Profile Details

NPI number 1265534143
LBN Legal business name Deitrick, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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