MR. Martin Haynes Nicol SR., PA-C

NPI #1003027459 in New York, New York

Provider Information

NPI Number: 1003027459
Entity Type: Individual
Name: MR. Martin Haynes Nicol SR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 25, 2007
Last Updated: Jul 18, 2012

Practice Location

Address: 2367-69 2ND AVE
City: New York
State: New York
ZIP Code: 10035-3108
Phone: (212) 876-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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