Individual
DR. TED NICOLOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 LOCKROW BLVD, ALBANY, NY 12205-5243
(585) 406-0860
Mailing address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1423
(716) 862-1871
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
98722
GA
Other
Enumeration date
04/01/2019
Last updated
03/06/2024
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