Individual
DR. AVERY NIKOLAS FERREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1513 RACE ST, PHILADELPHIA, PA 19102-1125
(718) 662-4825
Mailing address
901 WALNUT ST FL 6, PHILADELPHIA, PA 19107-5214
(718) 662-4825
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OT023641
PA
208D00000X
General Practice Physician
OT023641
PA
Other
Enumeration date
06/21/2023
Last updated
06/26/2025
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