Individual
NICOLE LYNN FIORENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
560 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 376-4109
Mailing address
100 1ST AVE, KINGS PARK, NY 11754-3611
(631) 897-8809
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
016448
NY
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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