NPI 1912110966

Nikitas Nicholaides, MSATCCSCSCFST

Practitioner Athletic Trainer Ridgewood, NJ

Practice location

Address: 627 E Ridgewood Ave, Ridgewood, NJ 07450-3310
Phone: (201) 670-2800
Mailing address: 123 Honeysuckle Dr, Township of Washington, NJ 07676-5263

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00084300 (NJ)

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1912110966
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 May 2007
Record last updated: 2 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.