Individual
NICOLAS CERNIGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2631
(631) 474-8099
Mailing address
55 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2631
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401122
NY
Other
Enumeration date
12/08/2015
Last updated
12/29/2017
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