Stathopoulos, Nicholas A

Stathopoulos, Nicholas A is an individual health care provider with primary practice located at 1890 Colvin Blvd , Tonawanda NY 14150-6964. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Stathopoulos, Nicholas A can be contacted via phone (716) 837-5200.

Contact Information

Primary practice address
1890 Colvin Blvd Tonawanda NY 14150-6964
Phone: (716) 837-5200
Fax: (716) 837-8750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 205998 Pennsylvania

Profile Details

NPI number 1487642682
LBN Legal business name Stathopoulos, Nicholas A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Sep 28th, 2007 - about 17 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 1487642682 NPPES
Pennsylvania MEDICAID 001804278
Pennsylvania MEDICAID 01748136

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