# DIX HILLS MEDICAL, PC

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

## Provider details

- **NPI number:** 1619573185
- **Authorized official:** ROBERT KAYLAKOV MD (PRESIDENT)
- **Authorized official phone:** (646) 339-4059

## Contact information

- **Practice address:** 691 92ND ST, BROOKLYN, NY 11228-3619
- **Practice address phone:** (718) 946-4600
- **Mailing address:** 280 TIMBER RIDGE DR, STATEN ISLAND, NY 10306-6124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2020
- **Last updated:** 12/09/2020