MEDICARE: DR. DIMYAN BALIKCIOGLU 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
1	207R00000X	Internal Medicine Physician	214100	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619984432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIMYAN BALIKCIOGLU MD

Provider Business Mailing Address
First Line	:	841 BURKE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-6613
Country	:	US
Telephone Number	:	718-654-1726
Fax Number	:

Provider Business Practice Location Address
First Line	:	841 BURKE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-6613
Country	:	US
Telephone Number	:	718-654-1726
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	03/17/2015

Similar Medicare Providers

1134346273 — INSTITUTES OF APPLIED HUMAN DYNAMICS
Practice Location Address:

825 BURKE AVE
BRONX, NY
10467-6613

Practice Phone: 718-920-0806
Practice Fax: 718-920-1331

1194052787 — MR. LAWRENCE BAYNARD HUBBELL M.S., R.D., C.D.N.
Practice Location Address:

1315 LOOMIS ST , LIFESPIRE CLINIC SERVICES
BRONX, NY
10461-2310

Practice Phone: 718-892-7801
Practice Fax:

1063738250 — MS. GINA GUILLANO MCMANUS RN
Practice Location Address:

3093 FEARN PL
BRONX, NY
10465-4111

Practice Phone: 917-513-1735
Practice Fax: 718-829-6613

1477820223 — DR. MATTHEW BARDINI VASEY M.D.
Practice Location Address:

234 E 149TH ST
BRONX, NY
10451-5504

Practice Phone: 718-579-5000
Practice Fax:

1871084459 — MRS. EVANGELINA M CABREJA
Practice Location Address:

329 E 149TH ST
BRONX, NY
10451-5625

Practice Phone: 646-666-3088
Practice Fax:

1306652284 — JAIWANT MAHADEO
Practice Location Address:

1825 EASTCHESTER RD
BRONX, NY
10461-2301

Practice Phone: 718-904-2500
Practice Fax:

Directions to “ DR. DIMYAN BALIKCIOGLU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.