Individual
ROUDELINE NICCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
838 N BROADWAY, MASSAPEQUA, NY 11758-2451
(631) 994-9619
(516) 804-9454
Mailing address
838 N BROADWAY, MASSAPEQUA, NY 11758-2451
(631) 994-9619
(516) 804-9454
Taxonomy
Speciality
Code
Description
License number
State
246ZN0300X
Nephrology Specialist/Technologist
Primary
214018
NY
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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