Hebert, Nicole Marie
Hebert, Nicole Marie is an individual health care provider with primary practice located at 2050 Tilden Ave Box 1000, New Hartford NY 13413-3613. 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. Hebert, Nicole Marie can be contacted via phone (315) 797-3114.Contact Information
Primary practice address
2050 Tilden Ave Box 1000
New Hartford NY 13413-3613
Phone: (315) 797-3114
Fax: (315) 624-0474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 031794-1 | New York |
Profile Details
| NPI number | 1063750461 |
|---|---|
| LBN Legal business name | Hebert, Nicole Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 21st, 2013 |
| Last updated | Jan 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063750461 | NPPES |
| New York | MEDICAID | 01815443 | |
| New York | MEDICAID | 00313539 |
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