Individual
DR. NICHOLAS A MARCHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
838 N BROADWAY UNIT B, MASSAPEQUA, NY 11758-2451
(516) 799-0550
(516) 799-0562
Mailing address
838 N BROADWAY UNIT B, MASSAPEQUA, NY 11758-2451
(516) 799-0550
(516) 799-0562
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N005755
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02521566
—
NY
Enumeration date
08/05/2006
Last updated
09/08/2021
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