Individual
DIEDERIK OTTO VERBEEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1888
Mailing address
1161 YORK AVE, APT 4M, NEW YORK, NY 10065-7940
(718) 640-0038
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
P94153
NY
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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