Individual
NICHOLAS FUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 40TH ST, BROOKLYN, NY 11219-1518
(718) 369-1444
Mailing address
PO BOX 416173, BOSTON, MA 02241-6173
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
309782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA11243800
STATE LICENSE
NJ
Enumeration date
04/28/2016
Last updated
02/19/2024
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