Individual
MR. RICHARD JESSE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1041 E RIVER DR, LAKE LUZERNE, NY 12846-2305
(518) 964-6773
(518) 964-6735
Mailing address
1041 E RIVER DR, LAKE LUZERNE, NY 12846-2305
(518) 964-6773
(518) 964-6735
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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