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Akito Theodore Nicol, DO
Student in an Organized Health Care Education/Training Program in Elmira, New York
NPI 1487357802

Akito Theodore Nicol is a Student in an Organized Health Care Education/Training Program based in Elmira, NY. Akito Theodore Nicol practices in Elmira, NY and has the professional credentials of DO. The NPI Number for Akito Theodore Nicol is 1487357802 and holds a License No. (New York).

The current practice location address for Akito Theodore Nicol is 600 Roe Ave, Elmira, NY and can be reached out via phone at 607-442-1713.

Location: 600 Roe Ave, Elmira, NY, 14905-1676
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487357802
Provider Name
Akito Theodore Nicol
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
600 Roe Ave, Elmira, NY, 14905-1676
Phone Number
607-442-1713
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Roe Ave
City
Elmira
State
New York
Zip
14905-1676
Phone Number
607-442-1713
Fax Number
person
Provider Business Mailing Address Details
Address
600 Roe Ave
City
Elmira
State
New York
Zip
14905-1676
Phone Number
607-442-1713
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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