Individual
MS. FELISA VICTORIA NICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 DAWSON CIR, STATEN ISLAND, NY 10314-3824
(718) 816-3513
Mailing address
97 DAWSON CIR, STATEN ISLAND, NY 10314-3824
(718) 816-3513
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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