Provider Demographics
NPI:1982864039
Name:DIEFENBACH, CATHERINE SIBYL (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:SIBYL
Last Name:DIEFENBACH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:SIBYL
Other - Last Name:MAGID
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:210 RIVERSIDE DR
Mailing Address - Street 2:APT. 6G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6802
Mailing Address - Country:US
Mailing Address - Phone:917-783-7776
Mailing Address - Fax:917-591-9588
Practice Address - Street 1:160 E 34TH ST
Practice Address - Street 2:NYU LANGONE CLINICAL CANCER CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4744
Practice Address - Country:US
Practice Address - Phone:212-731-5670
Practice Address - Fax:212-731-5502
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231212207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400004239Medicare PIN