Individual
ANGELA NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
25 CONSUMER SQUARE, PLATTSBURGH, NY 12901
(518) 566-8096
(518) 566-0085
Mailing address
25 CONSUMER SQUARE, PLATTSBURGH, NY 12901
(518) 566-8096
(518) 566-0085
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008632-01
NY
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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