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Individual

DR. DAVID PAUL NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6000 BROCKTON DR, LOCKPORT, NY 14094-9273
(716) 433-1410
Mailing address
7252 WOODHAVEN DR, LOCKPORT, NY 14094-6243
(716) 433-2259

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
132972
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01654631
NY
01
132972-1B
NY WORKER'S COMPENSATION
NY
Enumeration date
07/29/2005
Last updated
05/20/2010
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