Individual
NICOLE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 PELHAM PKWY S APT 4H, BRONX, NY 10461-1024
(203) 807-7027
Mailing address
1130 PELHAM PKWY S APT 4H, BRONX, NY 10461-1024
(203) 807-7027
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
227820757
NY
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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