Individual
DR. NICOLINA MARIE WAWRIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 JACKSON AVE FL 2, LONG ISLAND CITY, NY 11101-2920
(646) 962-4170
Mailing address
2825 JACKSON AVE FL 2, LONG ISLAND CITY, NY 11101-2920
(646) 962-4170
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
293684
NY
Other
Enumeration date
04/18/2015
Last updated
07/09/2023
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