Provider Demographics
NPI:1699829390
Name:NYCHKA, ANDREW ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ALEXANDER
Last Name:NYCHKA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDRE
Other - Middle Name:ALEXANDER
Other - Last Name:NYCHKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:10 NICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-2307
Mailing Address - Country:US
Mailing Address - Phone:914-523-0294
Mailing Address - Fax:914-273-0056
Practice Address - Street 1:10 NICHOLS RD
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-2307
Practice Address - Country:US
Practice Address - Phone:914-523-0294
Practice Address - Fax:914-273-0056
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226260207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH84972Medicare UPIN
8L6521Medicare ID - Type Unspecified