Individual
NICOLE DICARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12507 101ST AVE, SOUTH RICHMOND HILL, NY 11419-1411
(718) 450-9383
Mailing address
19206 39TH AVE, FLUSHING, NY 11358-2421
(347) 426-8679
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F307320
NY
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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