Individual
NICHOLAS SILLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3562 STATE ROUTE 27 STE 124, KENDALL PARK, NJ 08824-1062
(732) 853-8177
Mailing address
46 HUNTER AVE, STATEN ISLAND, NY 10306-2561
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01826700
NJ
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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