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Organization

DAP MEDICAL CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIEGO PONIEMAN MD (MD)
(212) 923-8500
Entity
Organization

Contact information

Practice address
400 FORT WASHINGTON AVE APT 1C, NEW YORK, NY 10033-6837
(212) 923-8500
Mailing address
400 FORT WASHINGTON AVE APT 1C, NEW YORK, NY 10033-6837
(212) 923-8500

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
481970922
LICENSE
NY
Enumeration date
12/04/2018
Last updated
12/04/2018
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