Organization
COLON RECTAL ASSOCIATES OF CENTRAL NEW YORK, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. NICHOLSON MD (PARTNER)
(315) 458-2211
Entity
Organization
Contact information
Practice address
GLACIER CREEK OFFICE PARK - BLDG II, 6711 TOWPATH RD., SUITE 175, EAST SYRACUSE, NY 13057-9510
(315) 458-2211
(315) 452-9025
Mailing address
GLACIER CREEK OFFICE PARK - BLDG II, 6711 TOWPATH RD., SUITE 175, EAST SYRACUSE, NY 13057-9510
(315) 458-2211
(315) 452-9025
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
11/20/2023
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