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Mr. Eric John Dieckmann
Specialist in Brightwaters, New York
NPI 1427312271

Eric John Dieckmann is a Specialist based in Brightwaters, NY. Eric John Dieckmann practices in Brightwaters, NY. The NPI Number for Eric John Dieckmann is 1427312271 and holds a License No. (New York).

The current practice location address for Eric John Dieckmann is 548 Pine Dr, Brightwaters, NY and can be reached out via phone at 631-332-2841. You can also correspond with Eric John Dieckmann through the mailing address at 548 PINE DR, BRIGHTWATERS, NY - 11718-1728 (mailing address contact number: 631-332-2841).

Location: 548 Pine Dr, Brightwaters, NY, 11718-1728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427312271
Provider Name
Eric John Dieckmann
Credential
Provider Entity Type
Individual
Gender
Male
Address
548 Pine Dr, Brightwaters, NY, 11718-1728
Phone Number
631-332-2841
Fax Number
Provider Enumeration Date
06/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1785977 01 NY PUBLIC SCHOOL TEACHER CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
548 Pine Dr
City
Brightwaters
State
New York
Zip
11718-1728
Phone Number
631-332-2841
Fax Number
person
Provider Business Mailing Address Details
Address
548 Pine Dr
City
Brightwaters
State
New York
Zip
11718-1728
Phone Number
631-332-2841
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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