Individual
JOHN C NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 WESTAGE BUSINESS CTR DR, SUITE 110, FISHKILL, NY 12524-2264
(845) 896-9280
(845) 896-0246
Mailing address
200 WESTAGE BUSINESS CTR DR, SUITE 110, FISHKILL, NY 12524-2264
(845) 896-9280
(845) 896-0246
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
256200
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03197142
—
NY
Enumeration date
10/13/2006
Last updated
09/09/2015
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