Individual
JONATHAN NIKNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5925 KISSENA BLVD, FLUSHING, NY 11355-5565
(718) 280-9788
Mailing address
5925 KISSENA BLVD, FLUSHING, NY 11355-5565
(718) 280-9788
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
315364
NY
Other
Enumeration date
04/11/2018
Last updated
04/10/2024
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