Individual
NICOLE ANTOINETTE SMITH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
629 WELLWOOD AVE APT 5A, LINDENHURST, NY 11757-2041
(631) 520-3040
Mailing address
629 WELLWOOD AVE APT 5A, LINDENHURST, NY 11757-2041
(631) 520-3040
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00512729
NY
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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