Individual
DR. JAIME H NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5620 MAIN ST, FLUSHING, NY 11355-5046
(718) 670-1837
(718) 661-7186
Mailing address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 670-1837
(718) 661-7186
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
226855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0399798
GHI
NY
Enumeration date
05/17/2006
Last updated
10/25/2010
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