Individual
NICHOLAS SANFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 E 34TH ST, LL, NEW YORK, NY 10016-4750
(212) 731-5003
Mailing address
160 E 34TH ST, LL, NEW YORK, NY 10016-4750
(212) 731-5003
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
217645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02367779
—
NY
Enumeration date
08/03/2005
Last updated
11/10/2011
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