Individual
DR. CARL DICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 W 59TH ST, NEW YORK, NY 10019-8022
(212) 523-7404
Mailing address
425 W 59TH ST FL 7, NEW YORK, NY 10019-8022
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
303285
NY
Other
Enumeration date
05/19/2014
Last updated
08/10/2020
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