Individual
DAPHNE NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 493-7000
Mailing address
11 OSBORNE AVE, NORWALK, CT 06855-1806
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/14/2022
Last updated
01/23/2023
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