Organization
NICKI SPICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JONES (PRESIDENT)
(347) 927-1172
Entity
Organization
Contact information
Practice address
914 BEDFORD AVE, BROOKLYN, NY 11205-5632
(347) 927-1172
Mailing address
914 BEDFORD AVE, BROOKLYN, NY 11205-5632
(347) 927-1172
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
12/10/2024
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