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Individual

NIKI IOANNOU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
16012 CRYDERS LN, WHITESTONE, NY 11357-2740
(917) 853-4475
Mailing address
102 BOULDER RD, MANHASSET, NY 11030-1632
(917) 853-4475

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
491700-01
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
381599
NY

Other

Enumeration date
10/05/2015
Last updated
12/05/2025
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