Organization
JACK M. DODICK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK M DODICK M.D. (PRESIDENT)
(212) 288-7638
Entity
Organization
Contact information
Practice address
535 PARK AVE, NEW YORK, NY 10065-8198
(212) 288-7638
Mailing address
535 PARK AVE, NEW YORK, NY 10065-8198
(212) 288-7638
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
105324
NY
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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