Individual
MARIA G. NICOLAIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
(800) 376-5566
Mailing address
1545 ATLANTIC AVE, BROOKLYN, NY 11213-1122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010231
LICENSE
NY
Enumeration date
11/08/2006
Last updated
08/28/2020
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