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NPI Code Detail

MEDICARE: NICHOLAS STAMATELOS

MEDICARE: NICHOLAS STAMATELOS
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
1183500000XPharmacist5673CT
2183500000XPharmacist047181NY

General Provider Information

NPI Number : 1205111523
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS STAMATELOS
Provider Business Mailing Address
First Line : 2701 WILLIAMSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10469-4109
Country : US
Telephone Number : 929-371-3185
Fax Number : 917-933-8885
Provider Business Practice Location Address
First Line : 2701 WILLIAMSBRIDGE RD
Second Line :
City : BRONX
State : NY
Zip : 10469-4109
Country : US
Telephone Number : 929-371-3185
Fax Number : 917-933-8885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2011
Last Update Date : 06/07/2026

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Directions to “ NICHOLAS STAMATELOS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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