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Contact Information

CHRISTINA NICOLAIS, PHD
750 EAST ADAMS ST
SYRACUSE, NY13210
 Phone: 315-464-5450
 Fax: 315-454-6322
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CHRISTINA NICOLAIS · (Female)

NPI Number 1164905295
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/14/2018
Last updated 10/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 023967
  • OH Medicaid 1473276
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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