Basic Information
Provider Information
NPI: 1376862227
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAY
FirstName: NICHOLAS
MiddleName: J.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 ELMWOOD AVE
Address2: BOX 646
City: ROCHESTER
State: NY
PostalCode: 146420001
CountryCode: US
TelephoneNumber: 5852754711
FaxNumber:  
Practice Location
Address1: 2 COULTER RD STE 1740
Address2:  
City: CLIFTON SPRINGS
State: NY
PostalCode: 144321122
CountryCode: US
TelephoneNumber: 3154629478
FaxNumber: 3154626707
Other Information
ProviderEnumerationDate: 05/18/2010
LastUpdateDate: 09/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X4301096131MIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100X283388NYY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


Home