IndividualActive
Charles Nicolais, M.D.
NPI 1649533746 · Interventional Cardiology Physician · Fayetteville, NY
Provider details
- NPI number
- 1649533746
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD454351 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4000 Medical Center Drive
Fayetteville, NY 13202
Phone: (315) 744-1570
Fax: (315) 744-1940
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Medical Center Dr
Fayetteville, NY 13066
Registry dates
- Enumerated
- 2012-06-22
- Last updated
- 2023-04-17
- Certified
- 2023-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.