Individual
DR. JOSEPH ROY NICOSIA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL, WEST ISLIP, NY 11795
(631) 376-4088
(631) 376-3289
Mailing address
3 BOYLE RD, SELDEN, NY 11784
(631) 736-4064
(631) 736-1332
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
191565
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01484564
—
NY
Enumeration date
01/06/2006
Last updated
07/08/2007
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