Sica, Jerry A

Sica, Jerry A is an individual health care provider with primary practice located at 1407 W 6Th St , Brooklyn NY 11204-4802. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sica, Jerry A can be contacted via phone (718) 236-6994.

Contact Information

Primary practice address
1407 W 6Th St Brooklyn NY 11204-4802
Phone: (718) 236-6994
Fax: (718) 331-3871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005358 New York

Profile Details

NPI number 1831163120
LBN Legal business name Sica, Jerry A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831163120 NPPES
New York Other 005358 STATE LICENSE
New York MEDICAID 01981057 STATE LICENSE

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