Individual
ALVIN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
32 UNION SQ E, NEW YORK, NY 10003-3209
(917) 916-9052
Mailing address
7637 JERICHO TPKE, WOODBURY, NY 11797-1701
(248) 259-7184
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P131396
NY
Other
Enumeration date
10/21/2024
Last updated
10/25/2024
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