Individual
DR. NICHOLAS MEGDANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4401 FRANCIS LEWIS BLVD, SUITE L3B, BAYSIDE, NY 11361-3002
(718) 229-0222
(718) 717-0275
Mailing address
PO BOX 610406, BAYSIDE, NY 11361-0406
(718) 229-0222
(718) 717-0275
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N004326
NY
213ES0131X
Foot Surgery Podiatrist
N004326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010499558
—
NY
Enumeration date
10/31/2006
Last updated
08/05/2009
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