Individual
DR. MARY SICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 E END AVE, SUITE 1B, NEW YORK, NY 10028-8020
(212) 737-9781
Mailing address
85 EAST END AVE., SUITE 1G, NEW YORK, NY 10028
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
146489
NY
2084P0804X
Child & Adolescent Psychiatry Physician
146489
NY
Other
Enumeration date
11/08/2006
Last updated
06/18/2012
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