Individual
JAMES MARK ANTHONY NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
240 E 56TH ST RM 4W, NEW YORK, NY 10022-3769
(917) 653-5090
Mailing address
25 BRUCKNER BLVD APT 3U, BRONX, NY 10454-4577
(917) 653-5090
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
019126
NY
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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