| Dimyan Balikcioglu Md Pc | |
|
841 Burke Ave Bronx NY 10467-6619 | |
| (718) 654-1726 | |
| (718) 547-4448 |
| Full Name | Dimyan Balikcioglu Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 841 Burke Ave, Bronx, New York |
| Authorized Official Name and Position | Dimyan Balikcioglu (OWNER/DOCTOR) |
| Authorized Official Contact | 7186541726 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dimyan Balikcioglu Md Pc 841 Burke Ave Bronx NY 10467-6619 Ph: (718) 654-1726 | Dimyan Balikcioglu Md Pc 841 Burke Ave Bronx NY 10467-6619 Ph: (718) 654-1726 |
| NPI Number | 1396016531 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 03/17/2015 |
| Medicare PECOS PAC ID | 9739349150 |
|---|---|
| Medicare Enrollment ID | O20120322000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396016531 | NPI | - | NPPES |
| H1113 | Other | UPIN | |
| 02134449 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 214100 (New York) | Primary |
| Provider Name | Dimyan Balikcioglu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619984432 PECOS PAC ID: 8729001466 Enrollment ID: I20060109001112 |
| Provider Name | Joseph Abboud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710168901 PECOS PAC ID: 8022195791 Enrollment ID: I20080404000369 |
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