Individual provider · Type 1 NPI

Chloe Nicolaisen, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1073190732 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 430-4031 Map

Fax (718) 430-2576

Other practice locations

  • 260 Hospital Dr Ste 103, Ukiah, CA 95482-4568 · (707) 467-3123

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1073190732

Chloe Nicolaisen, MD's National Provider Identifier is 1073190732, issued on Mar 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Apr 18, 2022.