Individual
JACK DODICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 PARK AVE, NEW YORK, NY 10065-8198
(212) 288-7638
(212) 832-0640
Mailing address
535 PARK AVE, NEW YORK, NY 10065-8198
(212) 288-7638
(212) 832-0640
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
105324
NY
Other
Enumeration date
12/14/2006
Last updated
07/08/2008
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