National Provider Identifier
Mark Nickels, MD
Mark Nickels, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Rochester, NY and a listed phone number of (585) 275-6733.
Profile Overview
- NPI
- 1417990748
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- June 14, 2006
- Last Updated
- June 29, 2023
Practice Location
- 300 Crittenden Blvd
- Rochester, NY 14642-0001
Phone: (585) 275-6733
Specialties
- Psychiatry Physician (2084P0800X)
Endpoints
- mnickels4782@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1417990748
- Entity Type
- Individual
- Last Name
- Nickels
- First Name
- Mark
- Credential
- MD
- Mailing Street Address
- 300 Crittenden Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-6733
- Practice Street Address
- 300 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-6733
- Enumeration Date
- June 14, 2006
- Last Updated
- June 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)
- Other Identifiers
- 01639550 (NY)