DR. MARC JOSEPH SICKLICK (NPI# 1538163423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538163423 |
Entity Type | Individual |
Full Name | DR. MARC JOSEPH SICKLICK |
Credential | MD |
Practice Address |
123 Grove Ave Ste 110 Cedarhurst NY 11516-2302 |
Practice Telephone | 5165695550 |
Mailing Telephone | 5165695550 |
Enumeration Date | 2005-06-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
124343 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GHI | 02200 | 01 | |
BLUECROSS | 08A15 | 01 | |
UNITED | 226249 | 01 | |
OXFORD | GS315 | 01 | |
HEALTHNET | 922147 | 01 |
Street Address |
123 GROVE AVE STE 110 |
City | CEDARHURST |
State | NY |
Zip Code | 11516-2302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336509041 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 123 Grove Ave, Cedarhurst, NY 11516-2322 | 2016-02-24 |
1780987198 | Tanya Marton-berg | Dietitian, Registered | 123 Grove Ave, Suite 100, Cedarhurst, NY 11516-2322 | 2010-12-08 |
1326211053 | South Shore Rehabilitation Ot PC | Clinic/Center | 123 Grove Ave, Suite 212, Cedarhurst, NY 11516-2322 | 2008-04-02 |
1336286442 | Nassau Ophthalmology Assoc PC | Ophthalmology | 123 Grove Ave, Cedarhurst, NY 11516-2322 | 2007-01-30 |
1467501767 | Lisa Bogdonoff | Psychiatry & Neurology | 123 Grove Ave, Suite 206, Cedarhurst, NY 11516-2322 | 2007-01-09 |
1871658237 | Joan Eileen Murray | Occupational Therapist | 123 Grove Ave, Suite 212, Cedarhurst, NY 11516-2322 | 2006-12-26 |
1497837272 | Jonathan Wolf | Psychiatry & Neurology | 123 Grove Ave, Suite 210, Cedarhurst, NY 11516 | 2006-10-20 |
1205944626 | Wendy Ruth Muchnick | Social Worker | 123 Grove Ave, Suite 202, Cedarhurst, NY 11516-2322 | 2006-08-26 |
1982611109 | David I Tarkoff | Internal Medicine | 123 Grove Ave, Cedarhurst, NY 11516 | 2006-08-01 |
1912912502 | Long Island Cardiovascular Group PC | Internal Medicine | 123 Grove Ave, Suite 216, Cedarhurst, NY 11516 | 2006-07-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
1336648252 | Daniel M Horowitz | Physical Therapist | 673 Park Lane, Cedarhurst, NY 11516 | 2018-02-06 |
1558757203 | Fraidy Horwitz | Dietitian, Registered | 527 Central Place, Cedarhurst, NY 11516 | 2015-04-09 |
1760800668 | Spruce Rx, Inc. | Pharmacy | 127a Spruce Street, Cedarhurst, NY 11516 | 2014-03-29 |
1578907358 | Rebecca Twerski Ganz | Psychologist | 528 Willow Ave, Cedarhurst, NY 11516 | 2013-04-23 |
1235472770 | Karim A. Badawy | Podiatrist | 551 Central Ave Suite 21a, Cedarhusrt, NY 11516 | 2013-04-03 |
1043592959 | Nicole T Hamburger | Speech-Language Pathologist | 611 Carlylye St, Cedarhurst, NY 11516 | 2011-09-16 |
1407153489 | Wendy Joy Grand | Social Worker | 2 Reilly Rd, Lawrence High School, Cedarhurst, NY 11516 | 2011-02-28 |
1518269976 | Susan Zora Gottlieb | Speech-Language Pathologist | 445 Central Ave, Suite 111, Cedarhurst, NY 11516 | 2010-11-17 |
Find all providers in zip 11516 |
Taxonomy Code | 207KA0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
Specialization | Allergy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427668318 | Jackson Heights Allergy& Asthma,pc | Allergy & Immunology | 9317 Roosevelt Ave Fl 2, Jackson Heights, NY 11372-7943 | 2020-08-05 |
1689053126 | Basicare Medical PC | Allergy & Immunology | 13631 Roosevelt Ave, Suite 12, Flushing, NY 11354-5509 | 2015-05-28 |
1235518648 | Bellrick Medical, P.C. | Allergy & Immunology | 2820 Merrick Rd, Suite C, Bellmore, NY 11710-5733 | 2015-05-19 |
1255640181 | Maria- Anna Vastardi | Allergy & Immunology | 9036 7th Ave, Brooklyn, NY 11228-3625 | 2010-09-27 |
1528388907 | Harvey Irwin Wolfe | Allergy & Immunology | 17 Hampton Road, C/o Dr Alvin Orlian, Great Neck, NY 11020 | 2010-06-08 |
1457599797 | Nicole Aliza Mazer | Allergy & Immunology | 2601 Cpl Kennedy St, Bayside, NY 11360-2452 | 2009-01-24 |
1336305390 | Bora V Kim | Allergy & Immunology | 210-33 26th Avenue Ground Level, Bayside, NY 11360-5908 | 2008-07-30 |
1205099801 | Paula Anne Brown | Allergy & Immunology | 600 Westage Business Center Drive, Fishkill, NY 12524-2281 | 2008-07-03 |
1720256639 | Michael L Lewin Md PC | Allergy & Immunology | 109 E 61st St, New York, NY 10065-8101 | 2008-02-13 |
1750580726 | Pauline Fani | Allergy & Immunology | 9 Center Dr, Roslyn, NY 11576-1447 | 2007-07-11 |
Find all providers with the same taxonomy |
City | CEDARHURST |
Zip Code | 11516 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.