DAVID P. NICHOLS, M.D., P.C.
Medical Practice at Brockton Dr, Pendleton, NY

License number
New York 132972-1
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: DAVID NICHOLS
Title: PRESIDENT
Phone: (716) 433-1410
Address
Address
6000 Brockton Dr, Pendleton, NY 14094
National Provider ID: 1891091336
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID P. NICHOLS, M.D., PC

Pendleton, NY

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
David P Nichols MD
Inactive reason:
Dissolution
Registration:
Jun 24, 1996
Inactive since:
Jan 25, 2013
Phone:
(716) 433-1410 (Phone)
Addresses:
7252 Woodhaven Dr, Lockport, NY 14094 (Physical)
6000 Brockton Dr, Pendleton, NY 14094
PO Box 679, Pendleton, NY 14095
State ID:
2041923
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Medical Assistants:
David P. Nichols (Owner, President), 7252 Woodhaven Dr, Lockport, NY 14094 (Physical),Michelle Lesser Manager, Office Manager, inactive,Lori Bull Secretary, Receptionist Secretary, inactive,...
Agent:
Brian N. Lewandowski, Esq. Lewandowski & Besanceney,150 Essjay Rd SUITE 102-B, Buffalo, NY 14221 (Physical)

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