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1669737466
ALEXANDER ELY NICHOLSON
LATHAM, NY
NPI
1669737466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NY F401487-1)
Enumeration Date
2012-07-08
Last Update Date
2022-07-21
Business Address
MR. ALEXANDER ELY NICHOLSON NPP
711 TROY SCHENECTADY RD STE 202
LATHAM, NY 12110-2461
Phone number: 518-782-3703
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Mailing Address
MR. ALEXANDER ELY NICHOLSON NPP
711 TROY SCHENECTADY RD STE 202
LATHAM, NY 12110-2461
Phone number: 518-782-3703
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