Individual
DR. MICHAEL J DICLEMENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7 W 51ST ST FL 4, NEW YORK, NY 10019-6910
(516) 532-8149
Mailing address
5036 JERICHO TPKE STE 205, COMMACK, NY 11725-2812
(516) 417-3488
(516) 584-6717
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
C1-0024788
DE
207V00000X
Obstetrics & Gynecology Physician
L6357
TX
207VG0400X
Gynecology Physician
Primary
330169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158824-01
—
TX
Enumeration date
11/03/2005
Last updated
11/06/2024
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