Individual
DR. DIMYAN BALIKCIOGLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
841 BURKE AVE, BRONX, NY 10467-6613
(718) 654-1726
Mailing address
841 BURKE AVE, BRONX, NY 10467-6613
(718) 654-1726
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
Enumeration date
08/02/2006
Last updated
03/17/2015
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