Provider Demographics
NPI:1053818799
Name:NICOL, CECILIA EW (MD)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:EW
Last Name:NICOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Mailing Address - Street 2:505 EAST 70TH STREET
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-746-2942
Mailing Address - Fax:212-746-4610
Practice Address - Street 1:WEILL CORNELL INTERNAL MEDICINE ASSOCIATES
Practice Address - Street 2:505 EAST 70TH STREET
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-746-2942
Practice Address - Fax:212-746-4610
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY310346207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine