Individual
NISHAN DADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 PARK ST, PRUYN PAVILION AT GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4449
(518) 792-7122
(518) 792-3800
Mailing address
391 MYRTLE AVE STE 5, ALBANY, NY 12208-3797
(518) 262-5640
(518) 262-9413
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
212958
NY
2086S0129X
Vascular Surgery Physician
Primary
212958
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
212958
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02672466
—
NY
Enumeration date
11/14/2005
Last updated
07/21/2022
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