Sica, Gregory Thomas

Sica, Gregory Thomas is an sole proprietor health care provider with primary practice located at 201 W 17Th St Apt 9D, New York NY 10011-5374. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sica, Gregory Thomas can be contacted via phone (617) 645-4167.

Contact Information

Primary practice address
201 W 17Th St Apt 9D New York NY 10011-5374
Phone: (617) 645-4167
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 170474-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 170474-1 New York
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 170474-1 New York

Profile Details

NPI number 1891766689
LBN Legal business name Sica, Gregory Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Sep 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891766689 NPPES
Massachusetts MEDICAID 3095657
Massachusetts MEDICAID 02194681

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