Individual
DR. LEROY NICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 W 12TH ST, EMERGENCY DEPT ADMINISTRATION, NEW YORK, NY 10011-8202
(212) 604-2590
Mailing address
870 SAINT NICHOLAS AVE APT D8, NEW YORK, NY 10032-5273
(212) 491-8725
(212) 491-8725
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
236503
NY
207P00000X
Emergency Medicine Physician
4301511279
MI
207P00000X
Emergency Medicine Physician
MD425081
PA
Other
Enumeration date
10/02/2006
Last updated
03/21/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us