Individual
NICOLAS C LANSIGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1366 VICTORY BLVD, RICHMOND SURGICAL ASSOCIATES PLLC, STATEN ISLAND, NY 10301-3907
(718) 442-4777
(718) 273-6635
Mailing address
1366 VICTORY BLVD, RICHMOND SURGICAL ASSOCIATES PLLC, STATEN ISLAND, NY 10301-3907
(718) 442-4777
(718) 273-6635
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
113543
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00206551
—
NY
Enumeration date
06/20/2005
Last updated
05/13/2008
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