Individual
JOHANNES LEEN DIKKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1233 YORK AVE APT 20N, NEW YORK, NY 10065-6342
(929) 505-4238
Mailing address
1233 YORK AVE APT 20N, NEW YORK, NY 10065-6342
(929) 505-4238
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
P101497
NY
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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