Individual
NICOLE NOCERA
Active
Individual
NICOLE NOCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
170310
CA
2085R0202X
Diagnostic Radiology Physician
298846-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170310
CALIFORNIA STATE MEDICAL LICENSE
CA
01
—
298846-1
NEW YORK STATE MEDICAL LICENSE
NY
Enumeration date
04/18/2014
Last updated
10/07/2020
Update your record
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