Individual
NICOLE A. TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 E 84TH ST, BROOKLYN, NY 11236-3501
(201) 926-9757
Mailing address
719 E 84TH ST, BROOKLYN, NY 11236-3501
(201) 926-9757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
173C00000X
Reflexologist
—
NJ
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
10/12/2017
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