Kocka, Nicole

Kocka, Nicole is an individual health care provider with primary practice located at 55 Nesconset Hwy , Port Jefferson Station NY 11776-2631. 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. Kocka, Nicole can be contacted via phone (631) 474-8099.

Contact Information

Primary practice address
55 Nesconset Hwy Port Jefferson Station NY 11776-2631
Phone: (631) 474-8099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403643 New York

Profile Details

NPI number 1659047314
LBN Legal business name Kocka, Nicole
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2021
Last updated Sep 29th, 2021 - about 5 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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