Individual ProviderSorasicha NithikasemStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address177 Fort Washington Avenue, Mhb, 7gs 313, New York, NY 10032(201) 953-6308PECOS EnrollmentBased on the most recent information from CMS, provider Sorasicha Nithikasem does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1588557920Provider TypeIndividualFull NameNithikasem, SorasichaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/3/2025Last Updated6/3/2025Contact InformationPractice LocationPractice Address177 Fort Washington Avenue, Mhb, 7gs 313, New York, NY 10032Phone(201) 953-6308FaxUnlisted FaxMailing LocationMailing Address177 Fort Washington Avenue, Mhb, 7gs 313, New York, NY 10032Phone(201) 953-6308FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer