Individual
JULIET A NICOLESCU-NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 OAKLAND AVE, SUITE 303, PORT JEFFERSON, NY 11777-2130
(631) 928-3122
(631) 928-3192
Mailing address
125 OAKLAND AVE, SUITE 303, PORT JEFFERSON, NY 11777-2130
(631) 928-3122
(631) 928-3192
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
214337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02182089
—
NY
Enumeration date
01/22/2007
Last updated
02/12/2020
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