Individual
NICOLE ANN KNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
(607) 733-7661
Mailing address
1149 SULLIVAN ST, ELMIRA, NY 14901-1670
(607) 733-7661
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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