Individual
DR. EITAN DICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6057
(718) 283-8713
Mailing address
PO BOX 29580, NEW YORK, NY 10087-9580
(718) 283-6057
(718) 283-8713
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
223623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02593406
—
NY
Enumeration date
11/02/2005
Last updated
07/21/2009
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