Individual ProviderAlison NicholsonMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5496 E Taft Rd, North Syracuse, NY 13212-3784(315) 552-6700PECOS EnrollmentBased on the most recent information from CMS, provider Alison Nicholson 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 yesterday at 9:43 AM.Profile DetailsProvider ID1801208608Provider TypeIndividualFull NameNicholson, AlisonCredentialLMTGenderFemaleSole ProprietorYesEnumeration Date5/28/2014Last Updated5/28/2014Contact InformationPractice LocationPractice Address5496 E Taft Rd, North Syracuse, NY 13212-3784Phone(315) 552-6700Fax(315) 552-6701Mailing LocationMailing Address5496 E Taft Rd, North Syracuse, NY 13212-3784Phone(315) 552-6700Fax(315) 552-6701Provider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense020075New York