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Contact Information

MARTIN H NICOL SR, PA-C
2367-69 2ND AVE
NEW YORK, NY10035-3108
 Phone: 212-876-2300
 Fax: 212-369-8209
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARTIN H NICOL SR · (Male)

NPI # 1003027459
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/25/2007
Last updated 07/18/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 003345-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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