Provider Demographics
NPI:1508504242
Name:ARMSTRONG, NICHOLAS CHARLES (MBBS)
Entity Type:Individual
Prefix:MR
First Name:NICHOLAS
Middle Name:CHARLES
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775MAINSTREETUNIT#221
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203
Mailing Address - Country:US
Mailing Address - Phone:716-983-1759
Mailing Address - Fax:
Practice Address - Street 1:BUFFALO GENERAL MEDICAL CENTER
Practice Address - Street 2:100 HIGH STREET
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-859-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2023-03-29
Deactivation Date:2023-03-20
Deactivation Code:
Reactivation Date:2023-03-29
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program