Individual
NICOLE PIAZZA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
15211 UNION TPKE, FLUSHING, NY 11367-3908
(718) 990-1900
Mailing address
23 BLEECKER ST APT 2D, BROOKLYN, NY 11221-8043
(845) 416-4657
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/06/2021
Last updated
03/06/2021
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