Individual
NICOLE METAXAS-MONOGIOUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 95TH ST, BROOKLYN, NY 11209-7404
(917) 607-4351
Mailing address
587 16TH ST, BROOKLYN, NY 11215-5914
(718) 680-9751
(718) 680-7977
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1086791
NY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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