Individual
NIKOLAS WANAHITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 BROADWAY STE 600, NEW YORK, NY 10010-6004
(212) 475-8066
Mailing address
920 BROADWAY STE 600, NEW YORK, NY 10010-6004
(212) 475-8066
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
251726
NY
Other
Enumeration date
01/25/2009
Last updated
12/15/2011
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