Individual
ATHINA NICOLAOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3607 30TH AVE, ASTORIA, NY 11103-4366
(718) 675-3800
Mailing address
64 77TH ST, BROOKLYN, NY 11209-2919
(718) 614-4128
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
745476
NY
363LF0000X
Family Nurse Practitioner
Primary
349245
NY
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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