Individual
DANE ERIK NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 EAST ADAMS ST, DEPARTMENT OF PEDIATRIC EMERGENCY MED, SYRACUSE, NY 13210-2306
(315) 464-4363
(315) 464-8690
Mailing address
750 E. ADAMS STREET, DEPARTMENT OF PEDIATRIC EMERGENCY MEDICINE, SYRACUSE, NY 13210-2306
(315) 464-4363
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
311913
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64060
—
NY
Enumeration date
06/26/2018
Last updated
06/05/2025
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