Individual
NICOLINE LOVISA TEGNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
338 E 92ND ST APT 25, NEW YORK, NY 10128-5805
(508) 369-2731
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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