IndividualActive
Douglas Dieterich, MD
NPI 1225056070 · Hepatology Physician · New York, NY
Provider details
- NPI number
- 1225056070
- Entity type
- Individual
- Primary specialty
- Hepatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 139595 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
17 E 102nd St
New York, NY 10029-5204
Phone: (212) 241-7270
Fax: (212) 289-7738
Approximate (ZIP-level) locationGet directions
Mailing address
1 Gustave L Levy Pl # 1118
New York, NY 10029-6504
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.