# DYCKMAN MEDICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497029375
- **Authorized official:** DR. ILYA SMUGLIN MD.,DO (OWNER)
- **Authorized official phone:** (646) 428-4270

## Contact information

- **Practice address:** 257-10 UNION TURNKPIKE, FLORAL PARK, NY 11004
- **Practice address phone:** (646) 428-4270
- **Mailing address:** 257-10 UNION TURNKPIKE, FLORAL PARK, NY 11004
- **Mailing address phone:** (646) 428-4270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 02/24/2012