Individual
ANDREA NOELLE NICOSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.E.D., CCC-SLP
Contact information
Practice address
25 CHATEAU TER, AMHERST, NY 14226-3927
(716) 839-1655
Mailing address
24 REDLEIN DR, LANCASTER, NY 14086-1048
(716) 425-8104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
032237
NY
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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