| Dyckman Medical Pc | |
|
271 E 198th St Ground Floor Bronx NY 10458-3170 | |
| (347) 963-4835 | |
| (718) 220-4739 |
| Full Name | Dyckman Medical Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 271 E 198th St, Bronx, New York |
| Authorized Official Name and Position | Nelton Reyes (OWNER) |
| Authorized Official Contact | 3479634835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dyckman Medical Pc 271 E 198th St Ground Floor Bronx NY 10458-3170 Ph: (347) 963-4835 | Dyckman Medical Pc 271 E 198th St Ground Floor Bronx NY 10458-3170 Ph: (347) 963-4835 |
| NPI Number | 1225496482 |
|---|---|
| Provider Enumeration Date | 02/03/2016 |
| Last Update Date | 02/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225496482 | NPI | - | NPPES |
| 01863529 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 207304 (New York) | Primary |
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