Individual
MICHELLE ALEXANDRA NIZHNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
693 FLATBUSH AVE APT 6, BROOKLYN, NY 11225-6045
(781) 775-2634
Mailing address
693 FLATBUSH AVE APT 6, BROOKLYN, NY 11225-6045
(781) 775-2634
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
120101
NY
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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