Organization
NICOLE SOLIMINE MONDRONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MONDRONE (BCBA)
(516) 492-7066
Entity
Organization
Contact information
Practice address
92 DOVECOTE LN, COMMACK, NY 11725-2748
(631) 462-2465
Mailing address
92 DOVECOTE LN, COMMACK, NY 11725-2748
(631) 462-2465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000164-1
NY
252Y00000X
Early Intervention Provider Agency
000164-1
NY
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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