Organization
STEPHEN J NICHOLAS MD PC
Active
Parent organization
STEPHEN J NICHOLAS MD PC
Other names
NY Orthopedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHEN J NICHOLAS MD PC
Authorized official
STEPHEN J NICHOLAS MD (OWNER)
(212) 737-3301
Entity
Organization
Contact information
Practice address
1600 STEWART AVE, WESTBURY, NY 11590-6696
(212) 737-3301
(212) 734-0407
Mailing address
PO BOX 16244, BELFAST, ME 04915-4057
(212) 737-3301
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
DMERC
NY
Enumeration date
01/27/2019
Last updated
01/27/2019
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