Provider Demographics
NPI:1033596952
Name:NICOLAS BIRO MEDICAL PC
Entity Type:Organization
Organization Name:NICOLAS BIRO MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:BIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-851-2476
Mailing Address - Street 1:25 5TH AVE
Mailing Address - Street 2:1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4307
Mailing Address - Country:US
Mailing Address - Phone:646-851-2476
Mailing Address - Fax:646-851-0329
Practice Address - Street 1:25 5TH AVE
Practice Address - Street 2:1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4307
Practice Address - Country:US
Practice Address - Phone:646-851-2476
Practice Address - Fax:646-851-0329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-29
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247912261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery