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Lisa Beth Ditchek, MD
Student in an Organized Health Care Education/Training Program in New York, New York
NPI 1043779051

Lisa Beth Ditchek is a Student in an Organized Health Care Education/Training Program based in New York, NY. Lisa Beth Ditchek practices in New York, NY and has the professional credentials of MD. The NPI Number for Lisa Beth Ditchek is 1043779051 and holds a License No. 315289 (New York).

The current practice location address for Lisa Beth Ditchek is 320 E 94Th St, New York, NY and can be reached out via phone at 212-423-3000.

Location: 320 E 94Th St, New York, NY, 10128-5604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043779051
Provider Name
Lisa Beth Ditchek
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
320 E 94Th St, New York, NY, 10128-5604
Phone Number
212-423-3000
Fax Number
Provider Enumeration Date
03/19/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
320 E 94Th St
City
New York
State
New York
Zip
10128-5604
Phone Number
212-423-3000
Fax Number
person
Provider Business Mailing Address Details
Address
320 E 94Th St
City
New York
State
New York
Zip
10128-5604
Phone Number
212-423-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
()
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
315289 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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