Individual
DR. PHILIP JOHN MIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2125 RIVER RD, SUITE 303, SCHENECTADY, NY 12309-1135
(518) 382-8350
(518) 382-0345
Mailing address
2125 RIVER RD, SUITE 303, SCHENECTADY, NY 12309-1135
(518) 382-8350
(518) 382-0345
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
115728
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000408519001
BSNENY
NY
05
—
00527477
—
NY
01
—
041208000020
FIDELIS - INT MEDICINE
NY
01
—
070119000062
FIDELIS - ENDOCRINOLOGY
NY
01
—
10001371
CDPHP
NY
01
—
11120
MVP
NY
01
—
200097
SENIOR WHOLE HEALTH
NY
01
—
28102
MVP
NY
01
—
28N081
EMPIRE BC
NY
01
—
4625730
AETNA
NY
01
—
47346
GHI/HMO
NY
Enumeration date
07/25/2006
Last updated
01/24/2013
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