Individual
NICOLE TAMARA NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
22703 113TH AVE, QUEENS VILLAGE, NY 11429-2712
(718) 810-3931
Mailing address
22703 113TH AVE, QUEENS VILLAGE, NY 11429-2712
(718) 810-3931
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
002208
NY
237600000X
Audiologist-Hearing Aid Fitter
Primary
14000046735
NY
Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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