Individual
NICOLE HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
683 ROUTE 18, EAST BRUNSWICK, NJ 08816-3721
(848) 206-0091
(848) 206-0097
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02272966
—
NY
Enumeration date
02/26/2007
Last updated
11/22/2019
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