Individual
NICOLE ZOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-6930
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430736-1
NY
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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