Provider Demographics
NPI:1720520331
Name:PIKMAN, MEITAL
Entity Type:Individual
Prefix:
First Name:MEITAL
Middle Name:
Last Name:PIKMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEITAL
Other - Middle Name:
Other - Last Name:NAFTALIAHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:702 KATHLEEN PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5159
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:702 KATHLEEN PL
Practice Address - Street 2:APT 4C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5159
Practice Address - Country:US
Practice Address - Phone:646-234-1616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1083391174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist