Individual
NED NICOLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
(315) 787-5100
(315) 787-5108
Mailing address
200 NORTH ST, SUITE 101, GENEVA, NY 14456-1561
(315) 787-5200
(315) 787-5221
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
154431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102433DL
PREFERRED CARE
NY
01
—
2697335
GHI
NY
05
—
804917
—
NY
01
—
P010154431
BLUE SHIELD
NY
Enumeration date
11/24/2006
Last updated
11/29/2011
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