Individual
NICHOLAS RESCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 CROSS RIVER RD, KATONAH, NY 10536-3549
(914) 763-8151
Mailing address
800 CROSS RIVER RD, KATONAH, NY 10536-3549
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
778902
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403687
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/03/2019
Last updated
08/24/2021
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