Individual
CASSANDRA MARY NICOTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-6267
Mailing address
2609 SE 21ST PL, CAPE CORAL, FL 33904-3275
(239) 410-5601
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
OS023869
PA
Other
Enumeration date
08/08/2017
Last updated
08/12/2024
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