Individual provider · Type 1 NPI
Richard Jesse Nicholson
Durable Medical Equipment & Medical Supplies · Lake Luzerne, NY
NPI number
1578740247
Active
Practice location
1041 E River Dr
Lake Luzerne, NY 12846-2305
Fax (518) 964-6735
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1578740247
Richard Jesse Nicholson's National Provider Identifier is 1578740247, issued on Jan 24, 2008. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Lake Luzerne, NY. The record was last updated on Jan 24, 2008.