Individual
NESTOR ANTHONY NICOLAIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2035 RALPH AVE, BROOKLYN, NY 11234-5300
(718) 209-1072
Mailing address
18 THORNGROVE LN, DIX HILLS, NY 11746-6709
(718) 209-1072
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X08248
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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