Individual
NICOLE MOAWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 SUNNYSIDE BLVD STE 100C, PLAINVIEW, NY 11803-1539
(516) 340-4001
Mailing address
93 HALF HOLLOW RD, MELVILLE, NY 11747-3206
(631) 316-2374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
711476
NY
363L00000X
Nurse Practitioner
Primary
312345
NY
Other
Enumeration date
12/03/2019
Last updated
08/21/2025
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