Individual
TRICIA E NICKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ELTON ST FL 2, BROOKLYN, NY 11208-1025
(347) 452-1367
Mailing address
132 ELTON ST FL 2, BROOKLYN, NY 11208-1025
(347) 452-1367
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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