Nicholas Koithan

NPI #1851805105 in Lackawanna, New York

Provider Information

NPI Number
1851805105
Entity Type
Individual
Name
Nicholas Koithan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Day Training/Habilitation Specialist
Enumeration Date
Nov 24, 2017
Last Updated
Nov 24, 2017

Practice Location

Address
790 RIDGE RD
ZIP Code
14218-1629
Phone
(716) 828-9500

Specialties & Taxonomy Codes

Specialty
Day Training/Habilitation Specialist

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