Nicholson, John Mallory

Nicholson, John Mallory is an individual health care provider with primary practice located at 3043 State Route 4 , Hudson Falls NY 12839-9632. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Nicholson, John Mallory can be contacted via phone (518) 747-2284.

Contact Information

Primary practice address
3043 State Route 4 Hudson Falls NY 12839-9632
Phone: (518) 747-2284
Fax: (518) 747-2253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 00126924 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 00126924 New York

Profile Details

NPI number 1992730444
LBN Legal business name Nicholson, John Mallory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated May 19th, 2010 - about 14 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 1992730444 NPPES
Other 00490944002 HEALTHNOW INTEGRATED
Other 10020051 HEALTHNOW INTEGRATED
Other 53088A HEALTHNOW INTEGRATED
Other 000490944002 HEALTHNOW INTEGRATED
Other 00490944002 HEALTHNOW INTEGRATED
Other 11123756 HEALTHNOW INTEGRATED
MEDICAID 00126924 HEALTHNOW INTEGRATED
Other 00490944002 HEALTHNOW INTEGRATED
Other 00490944002 HEALTHNOW INTEGRATED
Other 04042601887 HEALTHNOW INTEGRATED
Other 8U1371 HEALTHNOW INTEGRATED

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