Individual
MRS. LYNN C NICOLAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
42 FENWOOD RD, MAHOPAC, NY 10541-3912
(845) 621-1654
Mailing address
42 FENWOOD RD, MAHOPAC, NY 10541-3912
(845) 621-1654
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
296649-1
NY
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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