Individual
DR. JESSICA BLAIRE NICOLOSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
423 E 23RD ST, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
65 MCKINLEY AVE, APT C3-4, WHITE PLAINS, NY 10606-1635
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
017529-1
NY
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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