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Organization

STEPHEN J NICHOLAS MD PC

Active
Parent organization
STEPHEN J NICHOLAS MD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
STEPHEN J NICHOLAS MD PC
Authorized official
STEPHEN J NICHOLAS MD (OWNER)
(212) 737-3301
Entity
Organization

Contact information

Practice address
1870 RICHMOND RD, STATEN ISLAND, NY 10306-2553
(718) 285-7118
Mailing address
159 E 74TH ST FL 2, NEW YORK, NY 10021-3309
(212) 737-3301

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/23/2021
Last updated
08/23/2021
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