Provider Demographics
NPI:1659457505
Name:SUTTON, NICOLE J (MD)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:J
Last Name:SUTTON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3415 BAINBRIDGE AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-4669
Mailing Address - Country:US
Mailing Address - Phone:718-741-2343
Mailing Address - Fax:718-920-4351
Practice Address - Street 1:3415 BAINBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2403
Practice Address - Country:US
Practice Address - Phone:718-741-2343
Practice Address - Fax:718-920-4351
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2016-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2174082080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology