Individual
MRS. GINA NICOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
46 FRANCINE AVE, MASSAPEQUA, NY 11758-3613
(516) 809-5818
Mailing address
46 FRANCINE AVE, MASSAPEQUA, NY 11758-3613
(516) 809-5818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
343470
NY
363LP2300X
Primary Care Nurse Practitioner
Primary
F343470-1
NY
Other
Enumeration date
01/11/2019
Last updated
11/13/2025
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