Individual
SIRISHA R TIKKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
161 MADISON AVE, SUITE 10E, NEW YORK, NY 10016
(212) 889-5914
(212) 889-1963
Mailing address
161 MADISON AVE, SUITE 10E, NEW YORK, NY 10016
(212) 889-5914
(212) 889-1963
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
140979
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01025896
—
NY
Enumeration date
09/26/2006
Last updated
07/08/2007
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