| 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 |