Individual
NICOLE PICHARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
113 GLEN COVE AVE, GLEN COVE, NY 11542-3438
(516) 622-8888
Mailing address
113 GLEN COVE AVE, GLEN COVE, NY 11542-3438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
633341
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406899
NY
Other
Enumeration date
03/25/2025
Last updated
04/07/2025
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