Provider Demographics
NPI:1558520221
Name:SAKIAN, NIMA
Entity Type:Individual
Prefix:DR
First Name:NIMA
Middle Name:
Last Name:SAKIAN
Suffix:
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 1:21 WALNUT RD
Mailing Address - Street 2:3-1A
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2246
Mailing Address - Country:US
Mailing Address - Phone:516-660-2122
Mailing Address - Fax:
Practice Address - Street 1:21 WALNUT RD
Practice Address - Street 2:3-1A
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2246
Practice Address - Country:US
Practice Address - Phone:516-660-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program