Theodore Diktaban
Plastic and Reconstructive Surgery
911 Park Ave Suite 1a
New York
, New York 10075-0337
Theodore Diktaban
Plastic and Reconstructive Surgery
911 Park Ave Suite 1a
New York
, New York 10075-0337
(212) 288-8303
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Theodore Diktaban
- 911 Park Ave Suite 1a
- New York, NY
- Zip : 10075-0337
- Fax : (212) 288-8303
- Phone : (212) 988-5656
Second Address
- Theodore Diktaban
- 911 Park Ave Suite 1a
- New York, NY
- Zip : 10075-0337
- Fax : (212) 288-8303
- Phone : (212) 988-5656
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 131434 | NY |
National Provider Identifier
| NPI | 1194811331 |
|---|---|
| Provider Name | Theodore Diktaban |
| First Address | New York, NY 10075-0337 |
| Second Address | New York, NY 10075-0337 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 01/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00773946 | (05) | NY |
| A99096 | (02) |
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.