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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
28652 STATE HIGHWAY 23, STAMFORD, NY 12167-1712
(160) 765-2804
(160) 765-2804
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
225100000X
Physical Therapist
Primary
003627-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000413955001
BSNENY
NY
Enumeration date
01/19/2007
Last updated
03/17/2015
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