Dr. Ivan G Dimich
Pediatric Cardiologist
201east79thstreetsuite 20 E
New York
, New York 10075-0836
Dr. Ivan G Dimich
Pediatric Cardiologist
201east79thstreetsuite 20 E
New York
, New York 10075-0836
(212) 734-8232
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Ivan G Dimich
- 201east79thstreetsuite20e
- New York, NY
- Zip : 10075-0836
- Phone : (212) 734-8232
Second Address
- Dr. Ivan G Dimich
- 201east79thstreetsuite 20 E
- New York, NY
- Zip : 10075-0836
- Phone : (212) 734-8232
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 1045571 | NY |
National Provider Identifier
| NPI | 1134442999 |
|---|---|
| Provider Name | Dr. Ivan G Dimich |
| First Address | New York, NY 10075-0836 |
| Second Address | New York, NY 10075-0836 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2010 |
| Last Update Date | 09/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B20370 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.