Individual
NICHOLAS J CAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
17809 HILLSIDE AVE, JAMAICA, NY 11432-4624
(718) 657-4445
(718) 657-4447
Mailing address
17809 HILLSIDE AVE, JAMAICA, NY 11432-4624
(718) 657-4445
(718) 657-4447
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N005803-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02598887
—
NY
01
—
6514320001
DME PTAN
NY
Enumeration date
07/12/2006
Last updated
04/02/2014
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