Individual
DR. MICHAEL JAMES NICKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2594
(718) 960-6600
Mailing address
4422 3RD AVE, 4TH FLOOR BRAKER BUILDING: EM DEPT, BRONX, NY 10457-2545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
298833
NY
207R00000X
Internal Medicine Physician
298833
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2015
Last updated
03/06/2020
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