FRED NICOLAS

VALLEY STREAM, NY
NPI1982646410
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NY  109349)
Enumeration Date2006-06-11
Last Update Date2019-12-03
Business Address
FRED NICOLAS MD
766 DANIEL ST
VALLEY STREAM, NY 11581-3502
Phone number: 718-240-5077
Mailing Address
FRED NICOLAS MD
766 DANIEL ST
VALLEY STREAM, NY 11581-3502
Phone number: 631-391-7887