Provider Demographics
NPI:1972026540
Name:SIKORSKI, JOSHUA EDWARD (ATC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:EDWARD
Last Name:SIKORSKI
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 DIANE DR
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-5201
Mailing Address - Country:US
Mailing Address - Phone:716-982-3457
Mailing Address - Fax:
Practice Address - Street 1:185 DIANE DR
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-5201
Practice Address - Country:US
Practice Address - Phone:716-982-3457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer