Individual
NICOLE MARIE PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
270 PARK AVE, HUNTINGTON HOSPITAL, HUNTINGTON, NY 11743
(631) 351-2656
Mailing address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2656
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308089
NY
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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