Mr. Richard Jesse Nicholson
Mr. Richard Jesse Nicholson is a Durable Medical Equipment & Medical Supplies in Lake Luzerne, New York. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
1041 E River DrLake Luzerne, NY 12846-2305
Phone: (518) 964-6773
Fax: (518) 964-6735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1578740247 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 24, 2008 |
| Last updated in NPPES | January 24, 2008 |