Individual
NICOLAS PAULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NPP
Contact information
Practice address
6836 E GENESEE ST, FAYETTEVILLE, NY 13066-1024
(315) 446-1435
Mailing address
6836 E GENESEE ST, FAYETTEVILLE, NY 13066-1024
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401735
NY
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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