MR. PETER WILLIAM NICOLINI (NPI# 1366491714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366491714 |
| Entity Type | Individual |
| Full Name | MR. PETER WILLIAM NICOLINI |
| Credential | MST ATC |
| Practice Address |
4338 Wetzel Rd Liverpool NY 13090-2011 |
| Mailing Address |
301 Long Branch Cir Liverpool NY 13090-3249 |
| Practice Telephone | 3154531500 |
| Mailing Telephone | 3154396588 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 000840-1 | NY | Other Service Providers |
| Street Address |
4338 WETZEL RD |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235413147 | Lynn Marie Chapman | Registered Nurse | 4338 Wetzel Rd, Liverpool, NY 13090-2011 | 2011-10-11 |
| 1609150515 | Lisa Marie Morgan | Registered Nurse | 4338 Wetzel Rd, Liverpool, NY 13090-2011 | 2011-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851671929 | Michael Cohen | Specialist | 104 Floradale Rd, Liverpool, NY 13088-5622 | 2011-08-22 |
| 1255463964 | Child Health Care Associates Practice of Pediatrics | Specialist | 8138 Oswego Rd, Liverpool, NY 13090-1500 | 2007-03-09 |
| 1689772717 | Cny Thoracic Surgery PC | Specialist | 5100 West Taft Rd, Ste 2e, Liverpool, NY 13088 | 2006-09-20 |
| 1396700985 | Atul Maini | Specialist | 5100 W Taft Rd Ste 2e, Upstate Surgical Group P.C., Liverpool, NY 13088-4841 | 2006-04-18 |
| 1770833816 | North Area Medical Group, P.C. | Specialist | 5100 W Taft Rd, Suite 2g, Liverpool, NY 13088-3807 | 2012-09-17 |
| 1265782411 | University Hill Gastroenterology Associates, P.C. | Specialist | 5100 W Taft Rd, Suite 2g, Liverpool, NY 13088-3807 | 2012-09-14 |
| 1629261722 | Hui Hing Tin | Specialist | 5112 W Taft Road, Suite H, Liverpool, NY 13088 | 2007-08-22 |
| 1083756555 | Sarah Elizabeth Smith | Specialist | 195 Blackberry Rd, Liverpool, NY 13090-3047 | 2007-02-13 |
| 1629176755 | Upstate Surgical Group PC | Specialist | 5100 W Taft Rd, Ste 2e, Liverpool, NY 13088-3807 | 2006-09-20 |
| 1174595623 | Geeta Roy | Specialist | 5100 W Taft Rd, Suite 2g, Liverpool, NY 13088-3807 | 2006-02-07 |
| Find all providers in LIVERPOOL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.