Brock, Nicole

Brock, Nicole is an sole proprietor health care provider with primary practice located at 100 Saint Regis Dr , Massapequa Park NY 11762-3451. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Brock, Nicole can be contacted via phone (516) 795-3789.

Contact Information

Primary practice address
100 Saint Regis Dr Massapequa Park NY 11762-3451
Phone: (516) 795-3789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 037114-1 New York

Profile Details

NPI number 1376974774
LBN Legal business name Brock, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2013
Last updated Dec 10th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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