Individual
JAMES N ICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CENTRAL PARK S APT 107, NEW YORK, NY 10019-1449
(212) 262-2500
(212) 765-3210
Mailing address
200 CENTRAL PARK S APT 107, NEW YORK, NY 10019-1449
(212) 262-2500
(212) 765-3210
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2001219
NM
207N00000X
Dermatology Physician
Primary
295696-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05366367
—
NY
01
—
A400207255
DERMATOLOGY
NY
Enumeration date
03/02/2006
Last updated
03/25/2019
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