Individual provider · Type 1 NPI
Coral D. Nicholas
General Practice Physician · Rome, NY
NPI number
1184695884
Active
Practice location
1316 Black River Blvd N
Rome, NY 13440-3601
Fax (315) 336-3356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 203978-1 (NY) |
| Anesthesiology Physician | 207L00000X | 203978-1 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1184695884
Coral D. Nicholas's National Provider Identifier is 1184695884, issued on Jan 30, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Rome, NY. The record was last updated on Aug 30, 2012.