Individual
SAUNDRA NICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 EASTCHESTER RD, BRONX, NY 10469-3107
(914) 715-4699
Mailing address
3101 EASTCHESTER ROAD, BRONX, NY 10469-2113
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
231174
NY
Other
Enumeration date
01/15/2008
Last updated
12/01/2014
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