MEDICARE: VLADIMIR KALIKA DO

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	207Q00000X	Family Medicine Physician	212836	NY

General Provider Information

NPI Number	:	1285716555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VLADIMIR KALIKA DO

Provider Business Mailing Address
First Line	:	2133 E 68TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6011
Country	:	US
Telephone Number	:	718-282-0900
Fax Number	:	718-282-0995

Provider Business Practice Location Address
First Line	:	800 CORTELYOU RD
Second Line	:	STE 1D
City	:	BROOKLYN
State	:	NY
Zip	:	11218-5243
Country	:	US
Telephone Number	:	718-282-0900
Fax Number	:	718-282-0995

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/08/2007

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