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Organization
THOMAS NICOLLA CONSULTING SERVICES, PLLC
Active
Organization
THOMAS NICOLLA CONSULTING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NICOLLA PT (OWNER)
(518) 690-2882
Entity
Organization
Contact information
Practice address
711 TROY SCHENECTADY RD, SUITE 214, LATHAM, NY 12110-2442
(518) 690-2882
(518) 690-2884
Mailing address
711 TROY SCHENECTADY RD, SUITE 209, LATHAM, NY 12110-2442
(518) 786-1667
(518) 786-1954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000413955001
BSNENY
NY
01
—
CH8550
RAILROAD MEDICARE
NY
Enumeration date
01/17/2007
Last updated
09/16/2015
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