Individual
MRS. NICOLE MARIE MIDLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5130 E MAIN STREET RD, SUITE 2, BATAVIA, NY 14020-3496
(585) 344-1421
Mailing address
5130 E MAIN STREET RD, SUITE 2, BATAVIA, NY 14020-3496
(585) 344-1421
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
485166-1
NY
Other
Enumeration date
06/22/2011
Last updated
09/07/2011
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