Provider Demographics
NPI:1568568889
Name:KIHICZAK, NADIA (MD)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:KIHICZAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 E 4TH ST
Mailing Address - Street 2:SUITE 505
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1155
Mailing Address - Country:US
Mailing Address - Phone:212-673-7100
Mailing Address - Fax:212-673-6566
Practice Address - Street 1:14 E 4TH ST
Practice Address - Street 2:SUITE 505
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1155
Practice Address - Country:US
Practice Address - Phone:212-673-7100
Practice Address - Fax:212-673-6566
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88216207N00000X
NY2683051207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWEP181Medicare UPIN
CAWA88216GMedicare PIN
CA00A882163Medicare PIN
CA00A882165Medicare PIN
CAWA88216IMedicare PIN
CA00A882162Medicare PIN
CAWA88216CMedicare PIN
CAWA88216DMedicare PIN
CAWA88216HMedicare PIN
CA00A882161Medicare PIN
CAWA88216EMedicare PIN
CAWA88216JMedicare PIN
CA00A882160Medicare PIN
CAWA88216FMedicare PIN
CA00A882164Medicare PIN
CA00A882166Medicare PIN
CAWA88216BMedicare PIN