Individual
DR. JAKOB DIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4277 HEMPSTEAD TPKE, SUITE 200, BETHPAGE, NY 11714-5709
(516) 796-4340
(516) 579-4163
Mailing address
4277 HEMPSTEAD TPKE, SUITE 200, BETHPAGE, NY 11714-5709
(516) 796-4340
(516) 579-4163
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
205848-1
NY
207UN0901X
Nuclear Cardiology Physician
205848-1
NY
207UN0902X
Nuclear Imaging & Therapy Physician
205848-1
NY
2085B0100X
Body Imaging Physician
205848-1
NY
2085N0904X
Nuclear Radiology Physician
205848-1
NY
2085R0202X
Diagnostic Radiology Physician
205848
NY
2085R0202X
Diagnostic Radiology Physician
Primary
205848-1
NY
2085R0204X
Vascular & Interventional Radiology Physician
205848-1
NY
2085U0001X
Diagnostic Ultrasound Physician
205848-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205848-1
—
NY
Enumeration date
08/04/2006
Last updated
12/05/2018
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