Individual
DR. BRIAN D NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 E ADAMS ST, 241 CAMPUS WEST, SYRACUSE, NY 13210-2342
(315) 464-4636
Mailing address
750 E ADAMS ST, 241 CAMPUS WEST, SYRACUSE, NY 13210
(315) 464-4636
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
268958
NY
207Y00000X
Otolaryngology Physician
MT189198
PA
Other
Enumeration date
05/23/2007
Last updated
09/24/2013
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