Individual
NICOLE VICTORIA CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 HALLEY DR, BLUE POINT, NY 11772-6520
(516) 255-7236
Mailing address
307 HALLEY DR, BLUE POINT, NY 11772-6520
(516) 255-7236
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
003124
NY
Other
Enumeration date
07/25/2023
Last updated
05/23/2025
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