Organization
DIMYAN BALIKCIOGLU MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMYAN BALIKCIOGLU M.D. (OWNER/DOCTOR)
(718) 654-1726
Entity
Organization
Contact information
Practice address
841 BURKE AVE, BRONX, NY 10467-6619
(718) 654-1726
(718) 547-4448
Mailing address
841 BURKE AVE, BRONX, NY 10467-6619
(718) 654-1726
(718) 547-4448
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
214100
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02134449
—
NY
01
—
H1113
UPIN
—
Enumeration date
01/19/2012
Last updated
03/17/2015
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