Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Maccollum

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1477434504

Nicholas Maccollum is a Physical Medicine & Rehabilitation Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (315) 464-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 054559-01 (NY)

Record details

NPI number1477434504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

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