Individual
DR. DONNA A NICOLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
529 GOFFLE RD, WYCKOFF, NJ 07481-2937
(844) 777-0910
(201) 560-0712
Mailing address
10 RAILROAD AVE, ROCHELLE PARK, NJ 07662-4101
(201) 226-0700
(201) 843-3012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5342
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10663040
CAQH PROVIDER ID
NJ
Enumeration date
02/09/2007
Last updated
10/11/2021
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