Provider Demographics
NPI:1194812370
Name:SEKETA, NICHOLAS F (DPM)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:F
Last Name:SEKETA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 598
Mailing Address - Street 2:
Mailing Address - City:WHITNEY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:13862-0598
Mailing Address - Country:US
Mailing Address - Phone:607-692-4212
Mailing Address - Fax:
Practice Address - Street 1:2673 MAIN STREET
Practice Address - Street 2:
Practice Address - City:WHITNEY POINT
Practice Address - State:NY
Practice Address - Zip Code:13862-0598
Practice Address - Country:US
Practice Address - Phone:607-692-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN2900213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine