COURTNEY NICHOLAS

MEDFORD, NY
NPI1700238623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  307763)
Enumeration Date2016-07-02
Last Update Date2016-07-02
Business Address
-- COURTNEY NICHOLAS NP
1723 N OCEAN AVE
MEDFORD, NY 11763-2687
Phone number: 631-758-5858
Mailing Address
-- COURTNEY NICHOLAS NP
1723 N OCEAN AVE
MEDFORD, NY 11763-2687
Phone number:
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