Provider Demographics
NPI:1811246382
Name:NIXON, IAIN JAMES (MBCHB)
Entity type:Individual
Prefix:DR
First Name:IAIN
Middle Name:JAMES
Last Name:NIXON
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1378 YORK AVE
Mailing Address - Street 2:APT 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3415
Mailing Address - Country:US
Mailing Address - Phone:917-930-4244
Mailing Address - Fax:
Practice Address - Street 1:1378 YORK AVE
Practice Address - Street 2:APT 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3415
Practice Address - Country:US
Practice Address - Phone:917-930-4244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 P832142086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology