Individual
NICOLE PHILIPPOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA-P
Contact information
Practice address
30 HEMPSTEAD AVE STE H9, ROCKVILLE CENTRE, NY 11570-4034
(516) 764-5522
(516) 764-0154
Mailing address
57 PLAINFIELD AVENUE, EAST ROCKAWAY, NY 11518
(516) 376-1602
(516) 764-0154
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-3945
NY
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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