Individual
NICHOLAS D FILIPPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 E STATE ST, MAB SUITE 107, GLOVERSVILLE, NY 12078-1203
(518) 773-5687
(518) 773-5620
Mailing address
99 EAST STATE STREET, PO BOX 1250, GLOVERSVILLE, NY 12078
(518) 773-5687
(518) 773-5620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
132035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000915069003
BSH NE NY
NY
05
—
01170658
—
NY
01
—
10060753
CDPHP
NY
01
—
4124751
MVP HEALTHPLAN
NY
Enumeration date
07/03/2006
Last updated
01/21/2015
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