Individual
DR. MARC JOSEPH SICKLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 GROVE AVE, STE 110, CEDARHURST, NY 11516-2302
(516) 569-5550
Mailing address
123 GROVE AVE, STE 110, CEDARHURST, NY 11516-2302
(516) 569-5550
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
124343
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02200
GHI
—
01
—
08A15
BLUECROSS
—
01
—
226249
UNITED
—
01
—
922147
HEALTHNET
—
01
—
GS315
OXFORD
—
Enumeration date
06/08/2005
Last updated
07/08/2007
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