Individual
MRS. NICOLE DEPAOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
139 COMMODORE DR, STATEN ISLAND, NY 10309-3983
(718) 612-3983
Mailing address
139 COMMODORE DR, STATEN ISLAND, NY 10309-3983
(718) 612-3983
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
654006
NY
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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