Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Martin Haynes Nicol Sr., PA-C

Individual provider Physician Assistant · NPI 1003027459

Mr. Martin Haynes Nicol Sr., PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2367-69 2nd Ave
New York, NY 10035-3108 Not confirmed with CMS for 14 years — call before visiting
Phone: (212) 876-2300
Fax: (212) 369-8209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 003345-1 (NY)

Record details

NPI number1003027459
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2007
Last updated in NPPESJuly 18, 2012

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