Bambino, Nicholas George

Bambino, Nicholas George is an individual health care provider with primary practice located at 10 Elm St , Cornwall NY 12518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Bambino, Nicholas George can be contacted via phone (845) 534-7080.

Contact Information

Primary practice address
10 Elm St Cornwall NY 12518
Phone: (845) 534-7080
Fax: (845) 534-4171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 116053 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 116053 New York

Profile Details

NPI number 1417967514
LBN Legal business name Bambino, Nicholas George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated May 13th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417967514 NPPES
New York MEDICAID 00507979

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