Taylor E Nickerson
Pediatric Critical Care Doctor
269-01 76th Avenue
New Hyde Park
, New York 11040-1104
Taylor E Nickerson
Pediatric Critical Care Doctor
269-01 76th Avenue
New Hyde Park
, New York 11040-1104
(718) 470-3668
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Taylor E Nickerson
- 269-01 76th Avenue
- New Hyde Park, NY
- Zip : 11040
- Phone : (718) 470-3668
Second Address
- Taylor E Nickerson
- 269-01 76th Avenue
- New Hyde Park, NY
- Zip : 11040-1104
- Phone : (718) 470-3668
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 310805 | NY |
National Provider Identifier
| NPI | 1194104018 |
|---|---|
| Provider Name | Taylor E Nickerson |
| First Address | New Hyde Park, NY 11040 |
| Second Address | New Hyde Park, NY 11040-1104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2015 |
| Last Update Date | 23/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.