Carly Nicholas

NPI #1710329826 in Blasdell, New York

Provider Information

NPI Number: 1710329826
Entity Type: Individual
Name: Carly Nicholas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jul 18, 2013
Last Updated: Oct 28, 2013

Practice Location

Address: 136 HELEN AVE
City: Blasdell
State: New York
ZIP Code: 14219-1647
Phone: (716) 870-4732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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