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Individual

DR. DANIEL JULES NICOLL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4 BAYVIEW DR, PLAINVIEW, NY 11803-1534
(516) 367-3308
(516) 367-3309
Mailing address
4 BAYVIEW DR, PLAINVIEW, NY 11803-1534
(516) 367-3308
(516) 367-3309

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
040695
CT
207R00000X
Internal Medicine Physician
Primary
116426
NY
207R00000X
Internal Medicine Physician
C1 0007322
DE
207R00000X
Internal Medicine Physician
G80040
CA
207R00000X
Internal Medicine Physician
MA07048200
NJ
207R00000X
Internal Medicine Physician
MD424333
PA

Other

Enumeration date
08/02/2005
Last updated
07/08/2007
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