Individual
MS. NICOLE CHRISTIN SCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 BRAGG DR, LAKE GROVE, NY 11755-2304
(631) 220-6755
Mailing address
18 BRAGG DR, LAKE GROVE, NY 11755-2304
(631) 220-6755
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
431654101
NY
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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