Individual
NICOLE KUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 GALLOWAY AVE, STATEN ISLAND, NY 10302-2528
(718) 833-5741
Mailing address
60 GALLOWAY AVE, STATEN ISLAND, NY 10302-2528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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