Individual
DR. IVAN G DIMICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201EAST79THSTREETSUITE, 20 E, NEW YORK, NY 10075-0836
(212) 734-8232
Mailing address
201EAST79THSTREETSUITE20E, NEW YORK, NY 10075-0836
(212) 734-8232
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
1045571
NY
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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