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NPI Code Detail

MEDICARE: ALAN DITCHEK MD

MEDICARE:   ALAN  DITCHEK  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist151942NY

General Provider Information

NPI Number : 1609868827
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN DITCHEK MD
Provider Business Mailing Address
First Line : 2516 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3916
Country : US
Telephone Number : 718-769-0444
Fax Number : 718-769-5593
Provider Business Practice Location Address
First Line : 2516 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3916
Country : US
Telephone Number : 718-769-0444
Fax Number : 718-769-5593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 07/28/2010

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Directions to “ ALAN DITCHEK MD” Practice Location

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