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NPI Code Detail

MEDICARE: NICOLAS C LANSIGAN JR. MD

MEDICARE: NICOLAS C LANSIGAN JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician113543NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740285238
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLAS C LANSIGAN JR. MD
Provider Business Mailing Address
First Line : 1366 VICTORY BLVD
Second Line : RICHMOND SURGICAL ASSOCIATES PLLC
City : STATEN ISLAND
State : NY
Zip : 10301-3907
Country : US
Telephone Number : 718-442-4777
Fax Number : 718-273-6635
Provider Business Practice Location Address
First Line : 1366 VICTORY BLVD
Second Line : RICHMOND SURGICAL ASSOCIATES PLLC
City : STATEN ISLAND
State : NY
Zip : 10301-3907
Country : US
Telephone Number : 718-442-4777
Fax Number : 718-273-6635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 05/13/2008

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