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1487672945
JILL R DIETZ
GARDEN CITY, NY
NPI
1487672945
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: NY 333332)
Additional Taxonomies
208600000X Surgery
(Licence: PA MD474935)
Enumeration Date
2006-07-17
Last Update Date
2024-10-10
Business Address
Dr. JILL R DIETZ MD
1111 FRANKLIN AVE
GARDEN CITY, NY 11530-1617
Phone number: 516-663-1950
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Mailing Address
Dr. JILL R DIETZ MD
1111 FRANKLIN AVE
GARDEN CITY, NY 11530-1617
Phone number: 516-663-1950
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