Lynne T Nicolson
Sports Medicine Doctor Physical Medicine & Rehabilitation Doctor
1270 Belmont Ave Suite 259
Schenectady
, New York 12308-2104
Lynne T Nicolson
Sports Medicine Doctor Physical Medicine & Rehabilitation Doctor
1270 Belmont Ave Suite 259
Schenectady
, New York 12308-2104
(518) 525-5634
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About
Features
Specialties
- Sports Medicine Doctor
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Lynne T Nicolson
- Po Box 14890
- Albany, NY
- Zip : 12212-4890
- Phone : (518) 525-5634
Second Address
- Lynne T Nicolson
- 1270 Belmont Ave Suite 259
- Schenectady, NY
- Zip : 12308-2104
- Fax : (518) 386-3619
- Phone : (518) 382-4560
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | 160933 | NY |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 160933 | NY |
National Provider Identifier
| NPI | 1497748453 |
|---|---|
| Provider Name | Lynne T Nicolson |
| First Address | Albany, NY 12212-4890 |
| Second Address | Schenectady, NY 12308-2104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2005 |
| Last Update Date | 08/12/2021 |
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.