Mickinac, Nathan Keeler

Mickinac, Nathan Keeler is an individual health care provider with primary practice located at 1275 York Ave , New York NY 10065-6007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Mickinac, Nathan Keeler can be contacted via phone (212) 639-2000.

Contact Information

Primary practice address
1275 York Ave New York NY 10065-6007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 303914 New York

Profile Details

NPI number 1679078422
LBN Legal business name Mickinac, Nathan Keeler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2018
Last updated May 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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