Individual
CASSIE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 749-1820
(212) 531-7514
Mailing address
110 W 97TH ST, NEW YORK, NY 10025-6450
(212) 749-1820
(212) 531-7514
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297418
NY
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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