Nicolas, Fred
Nicolas, Fred is an individual health care provider with primary practice located at 766 Daniel St , Valley Stream NY 11581-3502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Nicolas, Fred can be contacted via phone (718) 240-5077.Contact Information
Primary practice address
766 Daniel St
Valley Stream NY 11581-3502
Phone: (718) 240-5077
Fax: (718) 240-6621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 109349 | New York |
Profile Details
| NPI number | 1982646410 |
|---|---|
| LBN Legal business name | Nicolas, Fred |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Dec 3rd, 2019 - about 7 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 | 1982646410 | NPPES |
| New York | MEDICAID | 00193917 |
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