Individual
STEPHEN J NICHOLAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 E 77TH ST, 5TH FLOOR, NYC, NY 10021-1851
(212) 737-3301
(212) 737-4876
Mailing address
130 E 77TH ST, 5TH FLOOR, NYC, NY 10021-1851
(212) 737-3301
(212) 737-3301
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
172648
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
172648
NY
Other
Enumeration date
09/15/2005
Last updated
09/11/2025
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