Individual
DR. NICHOLAS A STATHOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1890 COLVIN BLVD, TONAWANDA, NY 14150-6964
(716) 837-5200
(716) 837-8750
Mailing address
1890 COLVIN BLVD, TONAWANDA, NY 14150-6964
(716) 837-5200
(716) 837-8750
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
205998
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001804278
—
PA
05
—
01748136
—
NY
Enumeration date
10/11/2005
Last updated
09/28/2007
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