Individual
NICOLE DEVINCENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C, MPAS
Contact information
Practice address
27 8TH AVE, DERMATOLOGY CENTER, BROOKLYN, NY 11217-3901
(718) 636-0425
Mailing address
122 ASHLAND PL APT 11M, BROOKLYN, NY 11201-3910
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006105
NY
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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