Individual
DR. NICHOLAS GEORGE BAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 ELM ST, CORNWALL, NY 12518
(845) 534-7080
(845) 534-4171
Mailing address
10 ELM ST, CORNWALL, NY 12518
(845) 534-7080
(845) 534-4171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
116053
NY
207RG0100X
Gastroenterology Physician
Primary
116053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00507979
—
NY
Enumeration date
08/09/2006
Last updated
05/13/2010
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