Individual
JENNIFER ANN NICOLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SANDY DR, AMSTERDAM, NY 12010-8191
(518) 843-3503
Mailing address
19 PLEASANT AVE, AMSTERDAM, NY 12010-2616
(518) 478-2151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006269-1
NY
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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