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Organization

JOHN K NIA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN NIA MD (OWNER)
(516) 650-0933
Entity
Organization

Contact information

Practice address
242 LAFAYETTE ST APT 3S, NEW YORK, NY 10012-4084
(516) 650-0933
Mailing address
242 LAFAYETTE ST APT 3S, NEW YORK, NY 10012-4084
(516) 650-0933

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary

Other

Enumeration date
01/03/2024
Last updated
01/03/2024
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