Provider Demographics
NPI:1225000938
Name:WILKINS, SANIA DALIAH (DO)
Entity Type:Individual
Prefix:
First Name:SANIA
Middle Name:DALIAH
Last Name:WILKINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 PORT WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-2910
Mailing Address - Country:US
Mailing Address - Phone:516-883-2755
Mailing Address - Fax:516-883-1848
Practice Address - Street 1:937 PORT WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-2910
Practice Address - Country:US
Practice Address - Phone:516-883-2755
Practice Address - Fax:516-883-1848
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215162208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2388664OtherUNITED HEALTHCARE
NY02425574Medicaid
NY3C9605OtherHEALTH NET
NY2657062009OtherCIGNA
NY215162OtherHIP
NY3461041OtherAETNA HMO
NY610Y42OtherEMPIRE BC/BS
NY7842453OtherAETNA
NYP3174020OtherOXFORD