John Mallory Nicholson, MD | |
3043 State Route 4, Hudson Falls, NY 12839-9632 | |
(518) 747-2284 | |
(518) 747-2253 |
Full Name | John Mallory Nicholson |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 3043 State Route 4, Hudson Falls, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992730444 | NPI | - | NPPES |
00490944002 | Other | HEALTHNOW INTEGRATED | |
10020051 | Other | CDPHP | |
53088A | Other | MVP | |
000490944002 | Other | BLUE SHIELD | |
00490944002 | Other | EMPIRE BC/BS BLUE CARD | |
11123756 | Other | CAQH | |
00126924 | Medicaid | NY | |
00490944002 | Other | MEDICARE SENIOR BLUE | |
00490944002 | Other | EMPIRE BC/BS | |
04042601887 | Other | FIDELIS | |
8U1371 | Other | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 00126924 (New York) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 00126924 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
John Mallory Nicholson, MD 3043 State Route 4, Hudson Falls, NY 12839-9632 Ph: (518) 747-2284 | John Mallory Nicholson, MD 3043 State Route 4, Hudson Falls, NY 12839-9632 Ph: (518) 747-2284 |
Dr. Donald Walter Kowalski, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3043 State Route 4, Hudson Falls, NY 12839 Phone: 518-747-2284 Fax: 518-747-2253 | |
Julia Vlada Weber, PMHNP Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3043 State Route 4, Hudson Falls, NY 12839 Phone: 151-874-7228 Fax: 518-747-2284 |