MEDICARE: DR. JOHN OMID NIKKAH PH.D.

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
1	103T00000X	Psychologist	018836	NY

General Provider Information

NPI Number	:	1972890010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN OMID NIKKAH PH.D.

Provider Business Mailing Address
First Line	:	304 E 65TH ST
Second Line	:	APT# 27B
City	:	NEW YORK
State	:	NY
Zip	:	10065-6797
Country	:	US
Telephone Number	:	917-301-1870
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 E 65TH ST
Second Line	:	APT# 27B
City	:	NEW YORK
State	:	NY
Zip	:	10065-6797
Country	:	US
Telephone Number	:	917-301-1870
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2011
Last Update Date	:	07/08/2011

Similar Medicare Providers

1376850032 — MISS MICHELLE CAREN KORNBERG MA
Practice Location Address:

304 E 65TH ST
NEW YORK, NY
10065-6797

Practice Phone: 646-522-4313
Practice Fax:

1609292093 — CAROL FRANCINE WEINER
Practice Location Address:

304 E 65TH ST , LL1
NEW YORK, NY
10065-6797

Practice Phone: 212-249-3884
Practice Fax:

1861153009 — NICOLE EISBROUCH PA-C
Practice Location Address:

304 E 65TH ST
NEW YORK, NY
10065-6797

Practice Phone: 201-841-8033
Practice Fax:

1134075831 — RUBY SANDRA DEE POLLOCK RN
Practice Location Address:

622 3RD AVE FL 39
NEW YORK, NY
10017-6797

Practice Phone: 212-918-0845
Practice Fax:

1528107109 — CASIMIR ANDREW SWINGER M.D.
Practice Location Address:

304 E 65TH ST
NEW YORK, NY
10021-6797

Practice Phone: 212-579-5500
Practice Fax: 212-288-6434

1336263268 — DR. AMRAM WEINER DC
Practice Location Address:

304 E 65TH ST , SUITE LL1
NEW YORK, NY
10021-6797

Practice Phone: 212-249-3884
Practice Fax: 212-639-9409

Directions to “ DR. JOHN OMID NIKKAH PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.