Individual
NIRMALA NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
435 E HENRIETTA RD, ROCHESTER, NY 14620-4629
(585) 760-5466
(585) 760-5467
Mailing address
435 E HENRIETTA RD, ROCHESTER, NY 14620-4629
(585) 760-5466
(585) 760-5467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
228290
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
228290
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02462682
—
NY
Enumeration date
06/27/2006
Last updated
07/05/2023
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