Individual
HILARY KRISTINA DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DATES DR # 102, ITHACA, NY 14850-1342
(607) 272-5414
Mailing address
101 DATES DR # 102, ITHACA, NY 14850-1342
(607) 272-5414
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
320731
NY
207RX0202X
Medical Oncology Physician
Primary
320731
NY
Other
Enumeration date
06/20/2017
Last updated
09/03/2023
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