Individual
NICHOLAS CONDILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(646) 734-8626
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1782
WV
208M00000X
Hospitalist Physician
314910
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
11/01/2024
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