Organization
NICOLE IMBASCIANI NURSE PRACTITIONER IN ADULT HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE IMBASCIANI NP (OWNER)
(516) 319-0460
Entity
Organization
Contact information
Practice address
250 W 3RD ST, DEER PARK, NY 11729-5936
(516) 319-0460
Mailing address
250 W 3RD ST, DEER PARK, NY 11729-5936
(516) 319-0460
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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