Healthcare Provider Details

I. General information

NPI: 1275995581
Provider Name (Legal Business Name): NICHOLAS FIELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 NEW SCOTLAND AVE DEPARTMENT OF NEUROSURGERY
ALBANY NY
12208-3412
US

IV. Provider business mailing address

47 NEW SCOTLAND AVE DEPARTMENT OF NEUROSURGERY
ALBANY NY
12208-3412
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-6679
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number321754
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: