Individual
MRS. NICOLE JESSICA DEPINTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 CROYDEN DR, MASSAPEQUA, NY 11758-6141
(516) 319-3352
Mailing address
19 CROYDEN DR, MASSAPEQUA, NY 11758-6141
(516) 319-3352
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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