Provider Demographics
NPI:1871778951
Name:DICKEN, CARY LISA (MD)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:LISA
Last Name:DICKEN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5320 S. RAINBOW BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1896
Mailing Address - Country:US
Mailing Address - Phone:702-794-0073
Mailing Address - Fax:702-794-0042
Practice Address - Street 1:425 5TH AVE
Practice Address - Street 2:3RD FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:646-792-7476
Practice Address - Fax:646-274-0600
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2014-04-03
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Provider Licenses
StateLicense IDTaxonomies
NY238754207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology