Individual
NICKISHA LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 E 70TH ST, BROOKLYN, NY 11234-5712
(646) 436-3629
Mailing address
1410 E 70TH ST, BROOKLYN, NY 11234-5712
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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