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Dr. Nicholas Divaris
Orthopedic Trauma Physician in East Setauket, New York
NPI 1023065380

Nicholas Divaris is a Orthopedic Trauma Physician based in Stony Brook, NY and is specialized in Orthopedic Trauma. Nicholas Divaris practices in East Setauket, NY. The NPI Number for Nicholas Divaris is 1023065380 and holds a License No. 207388 (New York).

The current practice location address for Nicholas Divaris is 14 Technology Dr, East Setauket, NY and can be reached out via phone at 631-444-4233.

Location: 14 Technology Dr, East Setauket, NY, 11790-0989
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023065380
Provider Name
Nicholas Divaris
Credential
Provider Entity Type
Individual
Gender
Male
Address
14 Technology Dr, East Setauket, NY, 11790-0989
Phone Number
631-444-4233
Fax Number
Provider Enumeration Date
05/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7470302 01 NY AETNA
02176736 05 NY
421G01 01 NY EMPIRE BC.BS
institution
Provider Business Practice Location Address Details
Address
14 Technology Dr
City
East Setauket
State
New York
Zip
11733-3472
Phone Number
631-444-4233
Fax Number
person
Provider Business Mailing Address Details
Address
14 Technology Dr
City
East Setauket
State
New York
Zip
11733-3472
Phone Number
631-444-4233
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Trauma
Taxonomy
207XX0801X
License No.
207388 (New York)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic trauma surgeons deal with the evaluation and management of acute orthopedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
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