Nicholas Divaris in Stony Brook - Orthopaedic Trauma
Nicholas Divaris - NPI 1023065380
Nicholas Divaris is a Orthopaedic Trauma in Stony Brook, New York. Nicholas Divaris practices all healthcare services and medical treatments related to Orthopaedic Trauma. The NPI Number for Nicholas Divaris is 1023065380. The last update date is 2007-07-08.
Nicholas Divaris's current location address is Po Box 1559, Stony Brook, New York. You can contact this provider via phone number 6314444233. The mailing address for Nicholas Divaris is Po Box 1559, Stony Brook, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Nicholas Divaris |
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Address | Po Box 1559, Stony Brook, New York |
Phone Number | 6314444233 |
Fax Number | |
Sole Proprietor | X |
Credentials | -- |
NPI Number Detail
NPI Number | 1023065380 |
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Provider Enumeration Date | 2006-05-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 1559 |
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City | Stony Brook |
State | New York (NY) |
Post Code | 117900989 |
Phone Number | 6314444233 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Orthopaedic Trauma |
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Taxonomy | 207Xx0801X |
Licence No | 207388 |
Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic defo |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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7470302 | NY | AETNA | |
2176736 | NY | -- | |
421G01 | NY | EMPIRE BC.BS |
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What is the unique identification code assigned to Nicholas Divaris by the Centers for Medicare & Medicaid Services?
The Nicholas Divaris has been issued the NPI (National Provider Identifier) 1023065380. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Nicholas Divaris is physically located?
The Nicholas Divaris is situated at the following address: Po Box 1559, Stony Brook, NY 117900989.
What is Nicholas Divaris's area of expertise and its corresponding taxonomy classification?
The Nicholas Divaris's field of specialization is Orthopaedic Trauma, and it falls under the taxonomy code 207Xx0801X, which categorizes healthcare providers based on their areas of practice.
On what date did the Nicholas Divaris receive the assignment of its 1023065380 from the Centers for Medicare & Medicaid Services?
The Nicholas Divaris was issued its 1023065380 by the Centers for Medicare & Medicaid Services on 2006-05-30.
When was the Nicholas Divaris's information last updated?
The Nicholas Divaris's information was last updated on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH