Individual
NICOLE ASHLEY SIGUENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
260 SILLS ROAD SUITE C, PATCHOGUE, NY 11772
(631) 289-0300
Mailing address
260 SILLS ROAD SUITE C, PATCHOGUE, NY 11772
(631) 289-0300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
310316
NY
Other
Enumeration date
02/06/2010
Last updated
10/04/2022
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