Individual
NICOLE YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 N JAMES ST, ROME, NY 13440-2844
(315) 338-7000
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01785744
—
NY
Enumeration date
06/24/2006
Last updated
03/04/2025
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