Individual
NICOLE FAELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9131 QUEENS BLVD, SUITE 604, ELMHURST, NY 11373-5555
(718) 779-7000
Mailing address
5937 60TH ST, MASPETH, NY 11378-3233
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
622010
NY
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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