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Individual
NICHOLAS OBERTIS JR.
Active
Individual
NICHOLAS OBERTIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019242
NY
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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