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NPI Code Detail

MEDICARE: MRS. SANDRA RAE SIKORSKI LMHC

MEDICARE: MRS. SANDRA RAE SIKORSKI LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor007637NY

General Provider Information

NPI Number : 1205261054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDRA RAE SIKORSKI LMHC
Provider Business Mailing Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 S OYSTER BAY RD
Second Line :
City : HICKSVILLE
State : NY
Zip : 11801-3511
Country : US
Telephone Number : 516-822-6111
Fax Number : 516-396-0552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2013
Last Update Date : 11/01/2024

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