Healthcare Provider Details

I. General information

NPI: 1720028061
Provider Name (Legal Business Name): NICHOLAS PAPAPIETRO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 GREENPOINT AVE
BROOKLYN NY
11222-2274
US

IV. Provider business mailing address

PO BOX 95000-2449
PHILADELPHIA PA
19195-2449
US

V. Phone/Fax

Practice location:
  • Phone: 718-752-7582
  • Fax: 718-752-1837
Mailing address:
  • Phone: 718-752-7582
  • Fax: 718-752-1837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number195188
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: