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NPI Code Detail

MEDICARE: JOZEF NIZNIK

MEDICARE: JOZEF NIZNIK
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
1207R00000XInternal Medicine Physician131863NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487858551
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOZEF NIZNIK
Provider Business Mailing Address
First Line : 201 E 16TH ST RM 4B
Second Line :
City : NEW YORK
State : NY
Zip : 10003-3706
Country : US
Telephone Number : 212-995-9197
Fax Number : 212-614-1275
Provider Business Practice Location Address
First Line : 201 E 16TH ST RM 4B
Second Line :
City : NEW YORK
State : NY
Zip : 10003-3706
Country : US
Telephone Number : 212-995-9197
Fax Number : 212-614-1275
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. KAMIN SOOGRIM
Credential :
Telephone Number : 212-477-3544
Provider Enumeration Date : 06/13/2007
Last Update Date : 08/22/2020

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