Individual
NICOLE CIMINO-NARDOLILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
125 OAKLAND AVE, SUITE 204, PORT JEFFERSON, NY 11777-2130
(631) 686-2524
(631) 686-2526
Mailing address
125 OAKLAND AVE, SUITE 204, PORT JEFFERSON, NY 11777-2130
(631) 686-2524
(631) 686-2526
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7131506
NY
Other
Enumeration date
10/26/2011
Last updated
06/06/2016
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