Individual
NICOLE ADDONIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4977
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6737541
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401923-1
NY
Other
Enumeration date
07/09/2014
Last updated
05/03/2016
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