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Individual

PETER J NICHOLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 664-9731
(716) 664-9160
Mailing address
PO BOX 788, JAMESTOWN, NY 14702-0788
(716) 664-9731
(716) 664-9160

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
176670-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02391995
NY
Enumeration date
03/09/2006
Last updated
05/01/2018
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