Individual
DR. NICOLE ALICINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
460 WEST 34TH STREET, 9TH FLOOR, NEW YORK, NY 10001
(212) 273-6519
Mailing address
303 5TH AVE RM 1003, NEW YORK, NY 10016-6639
(732) 309-0991
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
022720
NY
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022720
NYS LICENSE
NY
Enumeration date
08/16/2013
Last updated
08/13/2019
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