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Organization
NICOLLA AND ASSOCIATES, PT & OT SERVICES, PLLC
Active
Organization
NICOLLA AND ASSOCIATES, PT & OT SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NICOLLA (OWNER)
(518) 786-1667
Entity
Organization
Contact information
Practice address
711 TROY SCHENECTADY RD, SUITE 209, LATHAM, NY 12110-2442
(518) 786-1667
(518) 786-1954
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
01/11/2006
Last updated
07/08/2024
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