Organization
STEPHEN J NICHOLAS MD PC
Active
Parent organization
STEPHEN J NICHOLAS MD PC
Other names
NY Orthopedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPHEN J NICHOLAS MD PC
Authorized official
STEPHEN J NICHOLAS MD (OWNER)
(212) 737-3301
Entity
Organization
Contact information
Practice address
162 E ROUTE 59 #1, NANUET, NY 10954
(212) 737-3301
Mailing address
PO BOX 16244, BELFAST, ME 04915-4057
(212) 737-3301
(212) 734-0407
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
DEMERC
—
Enumeration date
10/07/2022
Last updated
09/05/2023
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