Healthcare Provider Details

I. General information

NPI: 1447743729
Provider Name (Legal Business Name): DANIEL NIGRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 ADAMS AVE
MEMPHIS TN
38103-2816
US

IV. Provider business mailing address

4500 PARSONS BLVD. FLUSHING, QUEENS
NEW YORK NY
11355
US

V. Phone/Fax

Practice location:
  • Phone: 901-287-6303
  • Fax:
Mailing address:
  • Phone: 718-670-5534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number70930
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: