| Alan Ditchek, M.D. PLLC | |
|
2516 Ocean Ave Brooklyn NY 11229-3916 | |
| (718) 769-0444 | |
| (718) 769-5593 |
| Full Name | Alan Ditchek, M.D. PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2516 Ocean Ave, Brooklyn, New York |
| Authorized Official Name and Position | Alan Ditchek (PRESIDENT) |
| Authorized Official Contact | 7187690444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Ditchek, M.D. PLLC 2516 Ocean Ave Brooklyn NY 11229-3916 Ph: (718) 769-0444 | Alan Ditchek, M.D. PLLC 2516 Ocean Ave Brooklyn NY 11229-3916 Ph: (718) 769-0444 |
| NPI Number | 1265812515 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 10/22/2015 |
| Medicare PECOS PAC ID | 8224339338 |
|---|---|
| Medicare Enrollment ID | O20151215001223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265812515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 151942 (New York) | Primary |
| Provider Name | Alan Ditchek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609868827 PECOS PAC ID: 2668655838 Enrollment ID: I20110325000013 |
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