Individual
DR. NICOLE DISTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
655 KEARNY AVE, SUITE #102, KEARNY, NJ 07032-2942
(201) 991-0050
(201) 991-2383
Mailing address
655 KEARNY AVE, SUITE #102, KEARNY, NJ 07032-2942
(201) 991-0050
(201) 991-2383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00660000
NJ
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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