Individual
NICHOLAS JOSEPH RENALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Mailing address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
248742
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
248742
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03336445
—
NY
Enumeration date
11/25/2009
Last updated
09/30/2015
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