Individual
MS. NICOLE DEKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2704
Mailing address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2704
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
728370-1
NY
Other
Enumeration date
09/24/2018
Last updated
04/17/2019
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