Provider Demographics
NPI:1104092790
Name:NICHOLAS NORTON, PC
Entity type:Organization
Organization Name:NICHOLAS NORTON, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-475-8579
Mailing Address - Street 1:510 E 23RD ST
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5012
Mailing Address - Country:US
Mailing Address - Phone:212-475-8579
Mailing Address - Fax:
Practice Address - Street 1:510 E 23RD ST
Practice Address - Street 2:SUITE 5A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5012
Practice Address - Country:US
Practice Address - Phone:212-475-8579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009972103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty