Provider Demographics
NPI:1215997176
Name:GILIYAR, DINESH (MD)
Entity type:Individual
Prefix:DR
First Name:DINESH
Middle Name:
Last Name:GILIYAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 MATTHEWS AVE
Mailing Address - Street 2:6H
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2011
Mailing Address - Country:US
Mailing Address - Phone:212-831-9254
Mailing Address - Fax:212-410-3595
Practice Address - Street 1:1980 3RD AVE
Practice Address - Street 2:THIRD AVE PEDIATRIC ACRE P.C.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-3602
Practice Address - Country:US
Practice Address - Phone:212-831-9254
Practice Address - Fax:212-410-3595
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY211147208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01690817Medicaid