Provider Demographics
NPI:1740209022
Name:CEKA, ILKA P (ANP)
Entity Type:Individual
Prefix:
First Name:ILKA
Middle Name:P
Last Name:CEKA
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BEDELL AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10307-2001
Mailing Address - Country:US
Mailing Address - Phone:646-734-2640
Mailing Address - Fax:718-304-7598
Practice Address - Street 1:7098 AMBOY ROAD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10307
Practice Address - Country:US
Practice Address - Phone:718-356-5600
Practice Address - Fax:718-304-7598
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF304239363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health