National Provider Identifier
Carly Nicholas
Carly Nicholas is listed in the NPPES registry with a primary specialty of Specialist in Blasdell, NY and a listed phone number of (716) 870-4732.
Profile Overview
- NPI
- 1710329826
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- July 18, 2013
- Last Updated
- October 28, 2013
Practice Location
- 136 Helen Ave
- Blasdell, NY 14219-1647
Phone: (716) 870-4732
Mailing Address
- 87 Sandra Pl
- Hamburg, NY 14075-5306
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1710329826
- Entity Type
- Individual
- Last Name
- Nicholas
- First Name
- Carly
- Mailing Street Address
- 87 Sandra Pl
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5306
- Mailing Country
- US
- Mailing Phone
- (716) 870-4732
- Practice Street Address
- 136 Helen Ave
- Practice City
- Blasdell
- Practice State
- NY
- Practice ZIP Code
- 14219-1647
- Practice Country
- US
- Practice Phone
- (716) 870-4732
- Enumeration Date
- July 18, 2013
- Last Updated
- October 28, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)