Provider Demographics
NPI:1346078565
Name:DR ROBBAN SICA LLC
Entity type:Organization
Organization Name:DR ROBBAN SICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBBAN
Authorized Official - Middle Name:ARIEL
Authorized Official - Last Name:SICA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-605-1452
Mailing Address - Street 1:PO BOX 110172
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-0172
Mailing Address - Country:US
Mailing Address - Phone:203-700-7733
Mailing Address - Fax:203-987-4853
Practice Address - Street 1:CENTER FOR THE HEALING ARTS
Practice Address - Street 2:1 TURKEY HILL RD SOUTH
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880
Practice Address - Country:US
Practice Address - Phone:203-799-7733
Practice Address - Fax:203-987-4853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center