Individual
NICOLE PANICCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 RIVER AVE, BRONX, NY 10452-9431
(718) 293-9196
Mailing address
880 RIVER AVE, BRONX, NY 10452-9431
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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