Individual
DR. NICOLE V. DAISY-ETIENNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
165 N VILLAGE AVE, SUITE 200, ROCKVILLE CENTRE, NY 11570-3761
(516) 318-2489
(516) 255-4101
Mailing address
165 N VILLAGE AVE STE 200, ROCKVILLE CENTRE, NY 11570-3701
(516) 255-4100
(877) 728-0102
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017667
NY
Other
Enumeration date
08/25/2008
Last updated
09/09/2022
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