DINA NICKLAS

DEER PARK, NY
NPI1003696600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  405355)
Enumeration Date2023-10-02
Last Update Date2023-10-02
Business Address
DINA NICKLAS
84 WRIGHT AVE
DEER PARK, NY 11729-2808
Phone number: 631-241-5928
Mailing Address
DINA NICKLAS
84 WRIGHT AVE
DEER PARK, NY 11729-2808
Phone number: 631-241-5928
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