Dyan, Michele A

Dyan, Michele A is an individual health care provider with primary practice located at 4802 10Th Ave , Brooklyn NY 11219-2844. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Dyan, Michele A can be contacted via phone (718) 283-8853.

Contact Information

Primary practice address
4802 10Th Ave Brooklyn NY 11219-2844
Phone: (718) 283-8853
Fax: (718) 635-7235
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 183542 New York

Profile Details

NPI number 1194710202
LBN Legal business name Dyan, Michele A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 8th, 2007 - about 18 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 1194710202 NPPES
New York Other 183542 HIP
New York Other 183542-A15 HIP
New York Other 550291 HIP
New York Other P1010725 HIP
New York MEDICAID 01371140 HIP
New York Other 2699528 HIP
New York Other BK00944-03 HIP
New York Other 4C4441 HIP
New York Other 1861255 HIP

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