Dickman, Eitan

Dickman, Eitan is an individual health care provider with primary practice located at 4802 10Th Ave , Brooklyn NY 11219-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Dickman, Eitan can be contacted via phone (718) 283-6057.

Contact Information

Primary practice address
4802 10Th Ave Brooklyn NY 11219-2916
Phone: (718) 283-6057
Fax: (718) 283-8713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 223623 New York

Profile Details

NPI number 1225029861
LBN Legal business name Dickman, Eitan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 21st, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225029861 NPPES
New York MEDICAID 02593406

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