National Provider Identifier

Akito Theodore Nicol, DO

Akito Theodore Nicol, DO is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Elmira, NY and a listed phone number of (607) 442-1713.

NPI 1487357802Elmira, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1487357802
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 24, 2023
Last Updated
March 24, 2023

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1676

Phone: (607) 442-1713

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1487357802
Entity Type
Individual
Last Name
Nicol
First Name
Akito
Middle Name
Theodore
Credential
DO
Mailing Street Address
600 Roe Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1676
Mailing Country
US
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1676
Practice Country
US
Practice Phone
(607) 442-1713
Enumeration Date
March 24, 2023
Last Updated
March 24, 2023
Sex
Male
Sole Proprietor
No
Certification Date
March 24, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)