Individual
LAURA NICOLAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 BROAD ROAD, SUITE 2B NORTH, SYRACUSE, NY 13215-2265
(315) 492-5036
(315) 492-5477
Mailing address
4900 BROAD ROAD, SUITE 2B NORTH, SYRACUSE, NY 13215-2265
(315) 492-5036
(315) 492-5477
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
036.169867
IL
208C00000X
Colon & Rectal Surgery Physician
Primary
337239
NY
Other
Enumeration date
03/25/2018
Last updated
09/05/2025
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