Healthcare Provider Details

I. General information

NPI: 1689055220
Provider Name (Legal Business Name): NIKI SEKANDARI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 06/15/2024
Certification Date: 06/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODS RD
VALHALLA NY
10595-1530
US

IV. Provider business mailing address

2148 2ND AVE APT 4C
NEW YORK NY
10029-7801
US

V. Phone/Fax

Practice location:
  • Phone: 214-277-3785
  • Fax:
Mailing address:
  • Phone: 214-277-3785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number297733
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: