NICKOLAS ALEXANDER REVIELLO

DICKSON CITY, PA
NPI1821765272
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA062756)
Enumeration Date2021-08-24
Last Update Date2021-08-24
Business Address
NICKOLAS ALEXANDER REVIELLO
334 MAIN ST STE 1
DICKSON CITY, PA 18519-1668
Phone number: 570-307-1767
Mailing Address
NICKOLAS ALEXANDER REVIELLO
74 DOUGLAS DR
COVINGTON TOWNSHIP, PA 18424-7825
Phone number: 570-702-4589
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