Organization
DAVID P. NICHOLS, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NICHOLS (PRESIDENT)
(716) 433-1410
Entity
Organization
Contact information
Practice address
6000 BROCKTON DR, LOCKPORT, NY 14094-9273
(716) 433-1410
(716) 438-1096
Mailing address
6000 BROCKTON DR, LOCKPORT, NY 14094-9273
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
132972-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01654631
—
NY
Enumeration date
02/01/2011
Last updated
02/01/2011
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