Individual
NICHOLAS RALICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 FRANKLIN AVE, GARDEN CITY, NY 11530-1886
(516) 663-1054
Mailing address
1403 ELMER ST, WANTAGH, NY 11793-3020
(516) 477-5449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004024
NY
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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