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Theodore Diktaban, MD
Plastic and Reconstructive Surgery Physician in New York, New York
NPI 1194811331

Theodore Diktaban is a Plastic and Reconstructive Surgery Physician based in New York, NY and is specialized in Plastic and Reconstructive Surgery. Theodore Diktaban practices in New York, NY and has the professional credentials of MD. The NPI Number for Theodore Diktaban is 1194811331 and holds a License No. 131434 (New York).

The current practice location address for Theodore Diktaban is 911 Park Ave, New York, NY and can be reached out via phone at 212-988-5656 and via fax at 212-288-8303.

Location: 911 Park Ave, New York, NY, 10075-0337
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Provider Profile Details
NPI Number
1194811331
Provider Name
Theodore Diktaban
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
911 Park Ave, New York, NY, 10075-0337
Phone Number
212-988-5656
Fax Number
212-288-8303
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00773946 05 NY
institution
Provider Business Practice Location Address Details
Address
911 Park Ave
City
State
Zip
10075-0337
Phone Number
212-988-5656
Fax Number
212-288-8303
person
Provider Business Mailing Address Details
Address
911 Park Ave
City
State
Zip
10075-0337
Phone Number
212-988-5656
Fax Number
212-288-8303
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
131434 (New York)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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