Individual
SHARI L NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
65 PENNSYLVANIA AVE, SUITE 200, BINGHAMTON, NY 13903-1651
(607) 772-8772
(607) 772-8796
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005456
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01901880
—
NY
Enumeration date
08/10/2005
Last updated
12/27/2011
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