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Individual
DR. PHILIP JOHN MIKA
Active
Individual
DR. PHILIP JOHN MIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
115728
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000408519001
BSNENY
NY
05
—
00527477
—
NY
01
—
041208000020
FIDELIS - INT MEDICINE
NY
01
—
070119000062
FIDELIS - ENDOCRINOLOGY
NY
01
—
10001371
CDPHP
NY
01
—
11120
MVP
NY
01
—
200097
SENIOR WHOLE HEALTH
NY
01
—
28102
MVP
NY
01
—
28N081
EMPIRE BC
NY
01
—
4625730
AETNA
NY
01
—
47346
GHI/HMO
NY
Enumeration date
07/25/2006
Last updated
01/24/2013
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