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1235504853
NICOLAS CERNIGLIA
PORT JEFFERSON STATION, NY
NPI
1235504853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 401122)
Enumeration Date
2015-12-08
Last Update Date
2017-12-29
Business Address
NICOLAS CERNIGLIA
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776-2631
Phone number: 631-474-8099
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Mailing Address
NICOLAS CERNIGLIA
55 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776-2631
Phone number:
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