Individual
DANIEL NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
449 PIERMONT AVENUE, PIERMONT, NY 10968
(845) 359-3587
Mailing address
179 RIDGE STREET, PEARL RIVER, NY 10965
(845) 558-7809
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0005451
NY
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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