Provider Demographics
NPI:1053360255
Name:KALIKA, LEV (DC)
Entity type:Individual
Prefix:
First Name:LEV
Middle Name:
Last Name:KALIKA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 E 57TH ST
Mailing Address - Street 2:APT 15 A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2803
Mailing Address - Country:US
Mailing Address - Phone:917-880-0138
Mailing Address - Fax:718-676-1484
Practice Address - Street 1:122 W END AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4809
Practice Address - Country:US
Practice Address - Phone:718-646-7575
Practice Address - Fax:718-646-7727
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU69765Medicare UPIN
NYX3A361Medicare ID - Type Unspecified