Healthcare Provider Details

I. General information

NPI: 1861686594
Provider Name (Legal Business Name): DHD MEDICAL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 09/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 RALPH AVE
BROOKLYN NY
11234-5406
US

IV. Provider business mailing address

2132 RALPH AVE
BROOKLYN NY
11234-5406
US

V. Phone/Fax

Practice location:
  • Phone: 718-763-1400
  • Fax: 718-763-5313
Mailing address:
  • Phone: 718-763-1400
  • Fax: 718-763-5313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID HARRIS DELMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 718-763-1400