Individual
DR. NICOLAS ALEJANDRO ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-1407
(305) 332-1652
Mailing address
1628 SW 14TH ST, MIAMI, FL 33145-1538
(305) 332-1652
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
318091
NY
207P00000X
Emergency Medicine Physician
ME157819
FL
Other
Enumeration date
04/17/2018
Last updated
08/01/2023
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