Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore Diktaban, MD PLLC

Organization Specialist · NPI 1922391697

Theodore Diktaban, MD PLLC provides Specialist services in New York, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1016 5th Ave
New York, NY 10028-0132 Not confirmed with CMS for 15 years — call before visiting
Phone: (212) 988-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 131434 (NY)

Record details

NPI number1922391697
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Leone — Office Managaer · (212) 988-5656
NPI enumeratedMay 27, 2011
Last updated in NPPESMay 27, 2011
Mailing address1016 5th Ave, New York, NY 10028-0132

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