Individual
NICOLE SAMPLE-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 UNION TPKE STE 301, NEW HYDE PARK, NY 11040
(516) 616-1300
(718) 271-1159
Mailing address
27005 76TH AVE STE C221, NEW HYDE PARK, NY 11040-1496
(718) 470-7660
(718) 962-6739
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
297465-1
NY
Other
Enumeration date
03/25/2015
Last updated
04/13/2020
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