Individual
MR. NICHOLAS CHARLES ENGLESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
224 W 18TH ST, NEW YORK, NY 10011-4556
(646) 346-8809
Mailing address
90 SCARCLIFFE DR, MALVERNE, NY 11565-1005
(516) 312-1254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688640
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F310721-01
NY
Other
Enumeration date
08/27/2021
Last updated
12/07/2022
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