Dr. James Nicholson
Adult Reconstructive Orthopaedic Surgeon
14 Technology Dr
East Setauket
, New York 11733-3472
Dr. James Nicholson
Adult Reconstructive Orthopaedic Surgeon
14 Technology Dr
East Setauket
, New York 11733-3472
(631) 444-4233
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. James Nicholson
- Po Box 1559
- Stony Brook, NY
- Zip : 11790-0989
- Phone : (631) 444-4233
Second Address
- Dr. James Nicholson
- 14 Technology Dr
- East Setauket, NY
- Zip : 11733-3472
- Phone : (631) 444-4233
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 236798 | NY |
National Provider Identifier
| NPI | 1043251655 |
|---|---|
| Provider Name | Dr. James Nicholson |
| First Address | Stony Brook, NY 11790-0989 |
| Second Address | East Setauket, NY 11733-3472 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02681905 | (05) | NY |
| 660G31 | EMPIRE BC.BS (01) | NY |
| 7333761 | AETNA (01) | NY |
| I12554 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.