Provider Demographics
NPI:1720307002
Name:SIKALAS, NICHOLAS (MD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:SIKALAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1554
Mailing Address - Street 2:CPMP
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790
Mailing Address - Country:US
Mailing Address - Phone:631-444-1279
Mailing Address - Fax:631-444-8824
Practice Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Practice Address - Street 2:HEALTH SCIENCES TOWER,LEVEL 19, RM090
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790
Practice Address - Country:US
Practice Address - Phone:631-444-1279
Practice Address - Fax:631-444-8824
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2021-04-01
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Provider Licenses
StateLicense IDTaxonomies
NY2700382086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery