Individual
NICHOLAS LAPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 MAPLE ST, BUFFALO, NY 14204-1260
(716) 828-1719
(716) 828-1522
Mailing address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-6164
NY
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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