| Doctor Name: | DR. NICHOLAS DIVARIS |
| NPI Number: | 1023065380 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 207388 |
| Business Practice Address: | 14 Technology Dr East Setauket, NY - 117333472 |
| Business Phone Number: | 6314444233 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1559, STONY BROOK |
| State: | NY |
| Postal Code: | 117900989 |
| Phone Number: | 6314444233 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207XX0801X |
| License Number: | 207388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Orthopaedic Surgery |
| Taxonomy Specialization: | Orthopaedic Trauma |
| Taxonomy Definition: | Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |