Individual
NICHOLAS NICEFORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
8268 164TH ST, JAMAICA, NY 11432-1121
(718) 883-3000
Mailing address
157 HILLSIDE TER, STATEN ISLAND, NY 10308-2819
(718) 801-6796
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
063024
NY
1835P2201X
Ambulatory Care Pharmacist
Primary
063024
NY
Other
Enumeration date
12/21/2017
Last updated
01/15/2025
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