1992070056 NICKJAX LLC

PACE Provider Organization

Active

Basic Information

Organization Name
NICKJAX LLC
Enumeration Date
March 21, 2012
Last Update
March 21, 2012
Authorized Official
MR. RICHARD MANCUSO
EXECUTIVE DIRECTOR
Phone: (212) 738-9264

Practice Location

Address
115 E 82ND ST
1B
NEW YORK, NY 100280831
Phone
(212) 738-9264

Mailing Address

Address
115 E 82ND ST
1B
NEW YORK, NY 100280831
Phone
(212) 738-9264

Specialties & Taxonomies

Specialty Code Classification License State Primary
PACE Provider Organization
 251T00000X Program of All-Inclusive Care for the Elderly (PACE) Provider Organization N/A N/A Primary

Frequently Asked Questions

What is NICKJAX LLC's NPI number?
NICKJAX LLC's NPI number is 1992070056.
Which doctor has NPI number 1992070056?
The doctor with NPI number 1992070056 is NICKJAX LLC.
What is NICKJAX LLC's practice address?
NICKJAX LLC's practice address is 115 E 82ND ST, 1B, NEW YORK, NY, 100280831.
Which doctor practices at 115 E 82ND ST, 1B, NEW YORK, NY, 100280831?
NICKJAX LLC practices at 115 E 82ND ST, 1B, NEW YORK, NY, 100280831.
What is NICKJAX LLC's phone number?
NICKJAX LLC's phone number is (212) 738-9264.
Who is (212) 738-9264?
(212) 738-9264 is the phone number for NICKJAX LLC.
What is NICKJAX LLC's specialty?
NICKJAX LLC's specialty is PACE Provider Organization.
What type of doctor is NICKJAX LLC?
NICKJAX LLC is a PACE Provider Organization.
Is NICKJAX LLC a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization?
Yes, NICKJAX LLC is a Program of All-Inclusive Care for the Elderly (PACE) Provider Organization.
Is NICKJAX LLC still practicing?
Yes, NICKJAX LLC is currently practicing.
Is NICKJAX LLC accepting new patients?
NICKJAX LLC may be accepting new patients. Please call their office at (212) 738-9264 to inquire about availability.
Is NPI 1992070056 still active?
Yes, NPI 1992070056 is currently active.
Where does NICKJAX LLC practice?
NICKJAX LLC practices in NEW YORK, NY.