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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 (OWNER)
(518) 786-1667
Entity
Organization
Contact information
Practice address
11 CENTURY HILL DR, LATHAM, NY 12110-2151
(518) 786-1406
(518) 786-9003
Mailing address
11 CENTURY HILL DR, LATHAM, NY 12110-2151
(518) 786-1406
(518) 786-9003
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
01/22/2007
Last updated
04/25/2008
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