Nikolavsky, Dmitriy

Nikolavsky, Dmitriy is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Nikolavsky, Dmitriy can be contacted via phone (315) 464-6106.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2342
Phone: (315) 464-6106
Fax: (315) 464-6117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301086420 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X 49881 Colorado
Allopathic & Osteopathic Physicians / Urology 208800000X 265866 New York
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 2088F0040X 265866 New York

Profile Details

NPI number 1144435041
LBN Legal business name Nikolavsky, Dmitriy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Aug 27th, 2013 - about 11 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 1144435041 NPPES
New York MEDICAID 03480646

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