Jean M Nicholas is a Specialist in Amsterdam, New York. Jean M Nicholas practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jean M Nicholas is 1811067788. The last update date is 2007-07-08.
Jean M Nicholas's current location address is 43 Liberty Dr, Amsterdam, New York. You can contact this provider via phone number 5189542058. The mailing address for Jean M Nicholas is 43 Liberty Dr, Amsterdam, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean M Nicholas |
|---|---|
| Address | 43 Liberty Dr, Amsterdam, New York |
| Phone Number | 5189542058 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1811067788 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 43 Liberty Dr |
|---|---|
| City | Amsterdam |
| State | New York (NY) |
| Post Code | 120105635 |
| Phone Number | 5189542058 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 006858-1 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identification code assigned to Jean M Nicholas by the Centers for Medicare & Medicaid Services?
The Jean M Nicholas has been issued the NPI (National Provider Identifier) 1811067788. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jean M Nicholas?
The Jean M Nicholas is situated at 43 Liberty Dr, in the city of Amsterdam, state of NY, with the zip code 120105635.
What is the Jean M Nicholas's area of specialization and corresponding taxonomy classification?
The Jean M Nicholas's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1811067788 to Jean M Nicholas?
The Jean M Nicholas received its 1811067788 assignment from the Centers for Medicare & Medicaid Services on 2006-11-08.
As of what date were the details related to Jean M Nicholas most recently updated or revised?
The information pertaining to Jean M Nicholas, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.