Individual
NICHOLAS GUALTIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
59 W 12TH ST, SUITE 1D, NEW YORK, NY 10011-8520
(646) 638-1528
Mailing address
59 W 12 STREET, SUITE 1D, NEW YORK, NY 10011-8520
(646) 638-1528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
109007
NY
207RG0100X
Gastroenterology Physician
Primary
109007
NY
Other
Enumeration date
09/02/2006
Last updated
04/15/2016
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