# NICHOLAS DANIEL REYNOLDS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1912240607
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 321248 | NY | — |
| 207L00000X | Anesthesiology Physician | 54375 | KY | Yes |
| 207LP3000X | Pediatric Anesthesiology Physician | 2019037032 | MO | — |
| 207LP3000X | Pediatric Anesthesiology Physician | 321248 | NY | — |

## Other

- **Enumeration date:** 04/01/2013
- **Last updated:** 02/08/2023