Individual
DR. NICHOLAS DIVARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
207388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02176736
—
NY
01
—
421G01
EMPIRE BC.BS
NY
01
—
7470302
AETNA
NY
Enumeration date
05/30/2006
Last updated
07/13/2026
Update your record
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