Provider Demographics
NPI:1881833564
Name:DUGGAN, MEGAN M SIKORSKI (RN, PNP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:M SIKORSKI
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:RN, PNP
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:MICHELLE
Other - Last Name:SIKORSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, PNP
Mailing Address - Street 1:111 E 210TH ST
Mailing Address - Street 2:ROSENTHAL 3 PEDIATRICS
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2401
Mailing Address - Country:US
Mailing Address - Phone:203-313-0332
Mailing Address - Fax:718-920-6506
Practice Address - Street 1:111 E 210TH ST
Practice Address - Street 2:ROSENTHAL 3 PEDIATRICS
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2401
Practice Address - Country:US
Practice Address - Phone:203-313-0332
Practice Address - Fax:718-920-6506
Is Sole Proprietor?:No
Enumeration Date:2009-02-19
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY382038363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics