Diktaban, Theodore
Diktaban, Theodore is an individual health care provider with primary practice located at 911 Park Ave Suite 1A, New York NY 10075-0337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Diktaban, Theodore can be contacted via phone (212) 988-5656.Contact Information
Primary practice address
911 Park Ave Suite 1A
New York NY 10075-0337
Phone: (212) 988-5656
Fax: (212) 288-8303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 131434 | New York |
Profile Details
| NPI number | 1194811331 |
|---|---|
| LBN Legal business name | Diktaban, Theodore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Apr 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194811331 | NPPES |
| New York | MEDICAID | 00773946 |
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