Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Danielle Nicolette Dickson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124580709

Danielle Nicolette Dickson is a Family Practice in Bronx, New York. Graduated from State University of New York at Buffalo School of Medicine in 2019, 7 years ago. Practices with The Floating Hospital Inc, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2019
Specialties on file
2

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 318920 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124580709
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address111 E 210th St, Bronx, NY 10467-2401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice The Floating Hospital Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bronx