Nicholas Divaris

NPI 1023065380 - Orthopaedic Surgery - 207XX0801X

NPI Details
NPI 1023065380
Gender Male
Enumeration Date 05/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
EAST SETAUKET NY, 11733-3472, US
Phone (631) 444-4233
Business Location
PO BOX 1559
STONY BROOK NY, 11790-0989, US
Phone (631) 444-4233
Taxonomy Code 207XX0801X
License State New York
License Number 207388
Remove 1023065380 NPI Number

According to our database, Dr. Nicholas Divaris NPI is 1023065380, taxonomy code is 207XX0801X and license number is 207388, license state is located at New York. Nicholas Divaris physically located at 14 Technology Dr, East Setauket NY, 11733-3472. NPI Number Nicholas Divaris has the Individual type.

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1023065380 NPI number is provided on an as is basis without warranty of any kind. 1023065380 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Divaris are for informational purposes only.