Provider Demographics
NPI:1477973550
Name:NDIKA, OSCAR JR
Entity Type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:NDIKA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 SANDALWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2062
Mailing Address - Country:US
Mailing Address - Phone:516-499-2224
Mailing Address - Fax:
Practice Address - Street 1:43 ARISTA DR
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-4920
Practice Address - Country:US
Practice Address - Phone:631-683-4393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor