Individual
NICOLA ANGELEE DYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
273 HEBERTON AVE, STATEN ISLAND, NY 10302-1809
(718) 356-5100
(718) 356-3155
Mailing address
273 HEBERTON AVE, STATEN ISLAND, NY 10302-1809
(718) 356-5100
(718) 356-3155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35100
NY
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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