Provider Demographics
NPI:1861563124
Name:METRIKIN, AARON S (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:S
Last Name:METRIKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 CENTRAL PARK W
Mailing Address - Street 2:SUITE 12
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4198
Mailing Address - Country:US
Mailing Address - Phone:212-988-6230
Mailing Address - Fax:
Practice Address - Street 1:115 CENTRAL PARK W
Practice Address - Street 2:SUITE 12
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4198
Practice Address - Country:US
Practice Address - Phone:212-988-6230
Practice Address - Fax:212-721-1867
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2054962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01076219Medicaid
NY01076219Medicaid