Individual
MS. NICHOLE LYNN ROCKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
57190 ROUTE 25, SOUTHOLD, NY 11971
(631) 765-3620
Mailing address
57190 ROUTE 25, SOUTHOLD, NY 11971-4750
(631) 765-3620
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309222
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689834525
—
NY
Enumeration date
06/13/2008
Last updated
09/18/2019
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