Individual provider · Type 1 NPI

Nicole Donnelly Campbell, MD

Student in an Organized Health Care Education/Training Program · New Hyde Park, NY

NPI number 1124967617 Active

Practice location

270-05 76th Ave, Research Building - C Level Room 039AB
New Hyde Park, NY 11040

Call (516) 884-4711 Map

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 1124967617

Nicole Donnelly Campbell, MD's National Provider Identifier is 1124967617, issued on Mar 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Hyde Park, NY. The record was last updated on Mar 27, 2026.