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Individual
MICHAEL STANLEY NIZIOL
Active
Individual
MICHAEL STANLEY NIZIOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
155188
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000910707001
HEALTH NOW
NY
05
—
00903851
—
NY
01
—
040426016556
FIDELIS
NY
01
—
4226076
AETNA
NY
01
—
696697
MVP
NY
Enumeration date
12/26/2007
Last updated
04/13/2021
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