| Sisck Inc | |
|
914a Columbus Ave New York NY 10025-4040 | |
| (212) 749-2482 | |
| (212) 749-2484 |
| Full Name | Sisck Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 914a Columbus Ave, New York, New York |
| Authorized Official Name and Position | Godfrey U Mbonu (PRESIDENT) |
| Authorized Official Contact | 2127492482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisck Inc 914a Columbus Ave New York NY 10025-4040 Ph: (212) 749-2482 | Sisck Inc 914a Columbus Ave New York NY 10025-4040 Ph: (212) 749-2482 |
| NPI Number | 1447350129 |
|---|---|
| Provider Enumeration Date | 09/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447350129 | NPI | - | NPPES |
| 02616613 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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