Individual
DR. NANCY ELLEN TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1955 MERRICK RD, SUITE 106, MERRICK, NY 11566-4642
(516) 849-4985
(516) 858-2008
Mailing address
1955 MERRICK RD, SUITE 106, MERRICK, NY 11566-4642
(516) 849-4985
(516) 867-0503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
188709
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01989880
—
NY
Enumeration date
03/08/2007
Last updated
11/06/2024
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