Individual
NICOLE TAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
704 MIDDLE RD, BAYPORT, NY 11705-1920
(631) 664-6563
Mailing address
704 MIDDLE RD, BAYPORT, NY 11705-1920
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402274-1
NY
Other
Enumeration date
02/05/2018
Last updated
01/09/2026
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