Individual
DR. MICHAEL B. DITKOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
34 WENMORE RD, COMMACK, NY 11725-1638
(631) 543-5330
(631) 543-5330
Mailing address
34 WENMORE RD, COMMACK, NY 11725-1638
(631) 543-5330
(631) 543-5330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ORT004893
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01856151
—
NY
Enumeration date
08/02/2005
Last updated
03/07/2024
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