Individual
MR. ROBERT C. NICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PEER SPECIALIST
Contact information
Practice address
3133 PERRY AVE, BRONX, NY 10467-4132
(917) 208-1362
Mailing address
1276 FULTON AVE, BRONX, NY 10456-3467
(718) 503-7761
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
NYCPS-605
NY
Other
Enumeration date
12/12/2014
Last updated
05/12/2023
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