Provider Demographics
NPI:1598885741
Name:SIKDER, MANZURUL A (MD)
Entity Type:Individual
Prefix:
First Name:MANZURUL
Middle Name:A
Last Name:SIKDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1729 BURRSTONE ROAD
Mailing Address - Street 2:SLOCUM DICKSON MEDICAL GROUP PLLC
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413
Mailing Address - Country:US
Mailing Address - Phone:315-798-1500
Mailing Address - Fax:315-798-1707
Practice Address - Street 1:1729 BURRSTONE ROAD
Practice Address - Street 2:SLOCUM DICKSON MEDICAL GROUP PLLC
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413
Practice Address - Country:US
Practice Address - Phone:315-798-1500
Practice Address - Fax:315-798-1707
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY245286207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology