Individual
DR. JEFFREY MARC DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
166 ROSS ST, BROOKLYN, NY 11211-7737
(718) 302-5437
(718) 302-1972
Mailing address
166 ROSS ST, BROOKLYN, NY 11211-7737
(718) 302-5437
(718) 302-1972
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
191653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146420
—
NY
Enumeration date
01/02/2007
Last updated
07/08/2007
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