Individual
NICOLE KIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
52 W 8TH ST, NEW YORK, NY 10011-9092
(212) 466-4848
Mailing address
52 W 8TH ST, NEW YORK, NY 10011-9092
(212) 466-4848
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
335531
NY
Other
Enumeration date
03/31/2021
Last updated
05/30/2025
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