Individual
NICOLE PSOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 ROCK RD, GLEN ROCK, NJ 07452-1745
(201) 670-7661
Mailing address
40 RAVINE DR, HAWTHORNE, NJ 07506-2218
(973) 224-9086
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00784400
NJ
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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