License holder summary

NICKELS RUSSELL A is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for NICKELS RUSSELL A is BROOKINGS OR. This doctor license is not current. The license was granted 03/29/1972.

New York

Office of the Professions

NICKELS RUSSELL A
Medicine (Physician, Including M Ds & D Os)
License number
111959
Date granted
03/29/1972
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
BROOKINGS OR
nymedicine.org
ID 30232409
LAST UPDATED 2024-04-26 22:55:44 UTC

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