Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES D NICOLAIS, M.D.
ActiveDR. CHARLES D NICOLAIS, M.D. is a Hospice and Palliative Medicine healthcare provider located in FAYETTEVILLE, New York. NPI 1649533746 is currently active in the NPPES registry. Verify at CMS.
Hospice and Palliative Medicine · FAYETTEVILLE, NY
Registration Details
- NPI Number
- 1649533746
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2012 (14.161685087341 yrs)
- Last Updated
- Apr 17, 2023
- Licenses
-
MD454351 (PA)308533-01 (NY)308533-01 (NY)308533-01 (NY)
Practice Information
- Address
-
4000 MEDICAL CENTER DRIVEFAYETTEVILLE, NY, 13202Browse NY providers · Browse ZIP 13202
- Phone
- 3157441570
- Fax
- 3157441940
- Primary Specialty
-
Hospice and Palliative Medicine
207RI0011X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Hospice and Palliative Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.