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NICOLE KATHERINE ANN MCKINNON M.D., PH.D
NPI 1730455635
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 26, 2012
3959 BROADWAY, NEW YORK, NY 10032(212) 305-5437 Get Directions Write a Review

NPPES record last updated: March 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Katherine Ann Mckinnon M.d., Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE KATHERINE ANN MCKINNON M.D., PH.D (NPI 1730455635) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1730455635
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE KATHERINE ANN MCKINNONCredential: M.D., PH.D
Location Address3959 BROADWAYNew York, NY 10032-1559
Mailing Address215 E 96th St Apt 4pNew York, NY 10128-3888 · (917) 288-9842
Phone(212) 305-5437
Sole ProprietorNo
Enumeration DateMarch 26, 2012
✔ NPI 1730455635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
3959 BROADWAY, New York, NY 10032
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PAMELA ISABEL GOOD M.D.
Pediatrics
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
HAE LIN SON
Nurse Practitioner (Neonatal)
3959 BROADWAY
NEW YORK, NY 10032
New York County (201) 696-5960
ELIZABETH ANN BADER
Physician Assistant
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5437
HYO JIN CHO MD
Student in an Organized Health Care Education/Training Program
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-8504
DR. DAVID RUBENSTEIN
Pediatrics (Neonatal-Perinatal Medicine)
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK, NY 10032
New York County (212) 304-7250
MS. MEREDITH GAROD-MUSIC CPNP
Nurse Practitioner (Pediatrics)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 342-8530
EVIANNA CRUZ HERRERA MD/MPH
Pediatrics (Pediatric Gastroenterology)
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5903
SARA BOMBONATO OTR/L
Occupational Therapist
3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 305-5827

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mckinnon's NPI number?

The NPI number for Nicole Mckinnon is 1730455635. It was assigned to this individual provider in the NPPES registry on March 26, 2012.

Where is Nicole Mckinnon located?

Nicole Mckinnon practices at 3959 Broadway, New York, NY 10032. The listed phone number is (212) 305-5437.

What is Nicole Mckinnon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Mckinnon was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.