Provider Demographics
NPI:1285626077
Name:AMIN, NIKHIL (MD)
Entity Type:Individual
Prefix:
First Name:NIKHIL
Middle Name:
Last Name:AMIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22 SAW MILL RIVER RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1533
Mailing Address - Country:US
Mailing Address - Phone:914-493-7585
Mailing Address - Fax:914-594-4336
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:STE. 1400
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-493-7585
Practice Address - Fax:914-594-4336
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2013-07-22
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Provider Licenses
StateLicense IDTaxonomies
NY1752662080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01145835Medicaid
NY55F36EA201Medicare PIN
NYE48896Medicare UPIN
NY01145835Medicaid