Healthcare Provider Details

I. General information

NPI: 1902726052
Provider Name (Legal Business Name): FXIKIS XIKIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15101 14TH AVE
WHITESTONE NY
11357-1819
US

IV. Provider business mailing address

25123 GASKELL RD
LITTLE NECK NY
11362-1322
US

V. Phone/Fax

Practice location:
  • Phone: 718-400-4003
  • Fax:
Mailing address:
  • Phone: 718-400-4003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number2134869
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: