Individual
NICOLE MARIE MUCHERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MST
Contact information
Practice address
90 WEST ST, APT 12W, NEW YORK, NY 10006-1012
(203) 522-1460
Mailing address
90 WEST ST, APT 12W, NEW YORK, NY 10006-1012
(203) 522-1460
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/26/2013
Last updated
07/26/2013
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