Provider Demographics
NPI:1043772080
Name:HYLAND, NICOLE-MARIE (MD)
Entity type:Individual
Prefix:
First Name:NICOLE-MARIE
Middle Name:
Last Name:HYLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NICOLE-MARIE
Other - Middle Name:
Other - Last Name:TUZINKIEWICZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:967 48TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2919
Mailing Address - Country:US
Mailing Address - Phone:718-283-7973
Mailing Address - Fax:
Practice Address - Street 1:2316 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3959
Practice Address - Country:US
Practice Address - Phone:718-283-2306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY322500207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology