Hollenback, Nicelee Fall

Hollenback, Nicelee Fall is an sole proprietor health care provider with primary practice located at 950 Danby Rd Ste 202A , Ithaca NY 14850-5714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hollenback, Nicelee Fall can be contacted via phone (607) 342-5728.

Contact Information

Primary practice address
950 Danby Rd Ste 202A Ithaca NY 14850-5714
Phone: (607) 342-5728
Fax: (607) 238-4687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 401500 New York

Profile Details

NPI number 1801172614
LBN Legal business name Hollenback, Nicelee Fall
Credentials NPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2011
Last updated Sep 21st, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801172614 NPPES
New York Other 401500 NPP
New York Other 5344741 NPP

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