Individual ProviderAustin Joseph NicholsStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address169 Riverside Dr, Binghamton, NY 13905-4198(607) 789-5100(623) 695-3837PECOS EnrollmentBased on the most recent information from CMS, provider Austin Joseph Nichols does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 10 days ago.Profile DetailsProvider ID1528814639Provider TypeIndividualFull NameNichols, Austin JosephTitleMr.GenderMaleSole ProprietorNoEnumeration Date4/29/2024Last Updated9/8/2025Contact InformationPractice LocationPractice Address169 Riverside Dr, Binghamton, NY 13905-4198Phone(607) 789-5100FaxUnlisted FaxMailing LocationMailing Address19555 N 59th Ave, Glendale, AZ 85308-6813Phone(623) 695-3837FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer