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Contact Information

JERRY A SICA, PA
1407 W 6TH ST
BROOKLYN, NY11204-4802
 Phone: 718-236-6994
 Fax: 718-331-3871
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JERRY A SICA · (Male)

NPI # 1831163120
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 02/14/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 005358
  • NY Medicaid 01981057
  • NY Other 005358 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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