National Provider Identifier
Gary J Nicholson, MD
Gary J Nicholson, MD is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Elmira, NY and a listed phone number of (607) 734-6544.
Profile Overview
- NPI
- 1629145768
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- November 30, 2006
- Last Updated
- November 25, 2020
Practice Location
- 600 Fitch St Ste 102
- Elmira, NY 14905-1634
Phone: (607) 734-6544
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1629145768
- Entity Type
- Individual
- Last Name
- Nicholson
- First Name
- Gary
- Middle Name
- J
- Credential
- MD
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 600 Fitch St Ste 102
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1634
- Practice Country
- US
- Practice Phone
- (607) 734-6544
- Practice Fax
- (607) 734-6580
- Enumeration Date
- November 30, 2006
- Last Updated
- November 25, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 25, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 01884977 (NY)