Individual
NICOLE RENEE DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 526-8400
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(631) 838-5571
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
025171
NY
Other
Enumeration date
06/29/2020
Last updated
03/09/2022
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