Nichols, Neil Scott
Nichols, Neil Scott is an sole proprietor health care provider with primary practice located at 601 Suffolk Ave , Brentwood NY 11717-4309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Nichols, Neil Scott can be contacted via phone (855) 295-4144.Contact Information
Primary practice address
601 Suffolk Ave
Brentwood NY 11717-4309
Phone: (855) 295-4144
Fax: (631) 257-5098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 244448 | New York |
Profile Details
| NPI number | 1114140266 |
|---|---|
| LBN Legal business name | Nichols, Neil Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jan 29th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114140266 | NPPES |
| New York | MEDICAID | 03038497 |
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