Individual
DR. JEFFREY SCOTT DITZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
138 W 25TH ST, SUITE #606, NEW YORK, NY 10001-7405
(917) 612-0483
Mailing address
138 W 25TH ST, SUITE #606, NEW YORK, NY 10001-7405
(917) 612-0483
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
235398
NY
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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