Individual
DR. NINA MARIE TIOLECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 1ST AVE, ORANGEBURG, NY 10962-1106
(845) 292-0362
Mailing address
PO BOX 5, PORT JERVIS, NY 12771-0005
(917) 745-5335
(425) 559-9998
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
265965
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
265965
NY
Other
Enumeration date
06/15/2010
Last updated
07/25/2024
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