IndividualActive
Nicholas Divaris
NPI 1023065380 · Orthopaedic Trauma Physician · East Setauket, NY
Provider details
- NPI number
- 1023065380
- Entity type
- Individual
- Primary specialty
- Orthopaedic Trauma PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- License
- 207388 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
14 Technology Dr
East Setauket, NY 11733-3472
Phone: (631) 444-4233
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1559
Stony Brook, NY 11790-0989
Registry dates
- Enumerated
- 2006-05-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.