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Sydney Scott Nicholas, JR.

  • Male

Medical Specialty

Professional ID

  • NPI: 1124080924
  • PECOS ID: 7113012949
  • Enrollment ID: I20100121000064
  • Credential(MD, DO, DPM):
  • Medical School: University Of Minnesota Medical School
  • Medical School Graduation Year: 1961

Hospital Service

  • Hospital CCN1: 240080
  • Business Name (LBN)1: University Of Minnesota Medical Center, Fairview

Medical Practices

  • Organization Name: Eisenstadt Allergy And Asthma Llp
  • Group Practice ID assigned by PECOS: 9335234160
  • Number of Group Practice member: 3

Location

  • Address1: 6550 York Ave S
  • Address2:
  • City: Edina
  • State: Minnesota
  • Zip Code: 55435
  • Phone Number: (952)746-1854

Location

  • Address1: 825 Nicollet Mall
  • Address2: Suite 221
  • City: Minneapolis
  • State: Minnesota
  • Zip Code: 55402
  • Phone Number: (612)339-0807

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes