| Doctor Name: | DR. GREGORY THOMAS SICA |
| NPI Number: | 1891766689 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 170474-1 |
| Business Practice Address: | 201 W 17th St Apt 9d New York, NY - 100115374 |
| Business Phone Number: | 6176454167 |
| Business Fax Number: | |
| Mailing Address: | 201 W 17th St, Apt 9d NEW YORK |
| State: | NY |
| Postal Code: | 100115374 |
| Phone Number: | 6176454167 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 170474-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |