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1023065380
NICHOLAS DIVARIS
EAST SETAUKET, NY
NPI
1023065380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
207XX0801X Orthopaedic Surgery Orthopaedic Trauma
(Licence: NY 207388)
Enumeration Date
2006-05-30
Last Update Date
2007-07-08
Business Address
DR. NICHOLAS DIVARIS
14 TECHNOLOGY DR
EAST SETAUKET, NY 11733-3472
Phone number: 631-444-4233
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Mailing Address
DR. NICHOLAS DIVARIS
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-4233
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