Individual
NICOLE ZIPPILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7131
Mailing address
18 GIBSON AVE, STATEN ISLAND, NY 10308-2042
(718) 227-5457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00041300
NJ
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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