Individual
NICOLE COMMERCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 WAKELEE AVE, ANSONIA, CT 06401-1198
(203) 503-3650
(203) 503-3659
Mailing address
121 WAKELEE AVE, ANSONIA, CT 06401-1198
(203) 503-3650
(203) 503-3659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6872
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235918
—
CT
Enumeration date
07/01/2010
Last updated
07/01/2010
About Stedi
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