Individual
MS. NICHOLA NARIMA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP, LMSW
Contact information
Practice address
464 BOXWOOD DR, SHIRLEY, NY 11967-1207
(631) 236-8600
Mailing address
464 BOXWOOD DR, SHIRLEY, NY 11967-1207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
694708
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403204
NY
Other
Enumeration date
08/29/2020
Last updated
03/07/2022
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