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Individual

JAMES R. NITZKORSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
45 READE PL, DYSON CENTER, 3RD FLOOR, POUGHKEEPSIE, NY 12601-3947
(845) 483-6920
(845) 483-6922
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
238729
NY
2086X0206X
Surgical Oncology Physician
Primary
238729
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03336523
NY
Enumeration date
03/10/2009
Last updated
03/23/2017
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