Individual
MARIA K NICKOLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 BRYANT WOODS S, AMHERST, NY 14228-3604
(716) 689-3333
(716) 689-9866
Mailing address
85 BRYANT WOODS S, AMHERST, NY 14228-3604
(716) 689-3333
(716) 689-9866
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
176758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010127103
UNIVERA
NY
01
—
000510644006
HEALTH INTEGRATED
NY
05
—
01136552
—
NY
01
—
11123758
CAQH
NY
01
—
145074
VALUE OPTIONS
NY
01
—
1506150
INDEPENDENT HEALTH
NY
Enumeration date
05/24/2005
Last updated
07/08/2007
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