Provider Demographics
NPI:1497751630
Name:MIHALCIK, JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:MIHALCIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:407 E 91ST ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6806
Mailing Address - Country:US
Mailing Address - Phone:917-566-0899
Mailing Address - Fax:212-860-3582
Practice Address - Street 1:407 E 91ST ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6806
Practice Address - Country:US
Practice Address - Phone:917-566-0899
Practice Address - Fax:212-860-3582
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYA152928207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00970296Medicaid
NYB14528Medicare UPIN