Mardak, Nicole

Mardak, Nicole is an sole proprietor health care provider with primary practice located at 5440 74Th St , Elmhurst NY 11373-4702. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mardak, Nicole can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
5440 74Th St Elmhurst NY 11373-4702
Phone: (000) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1629433057
LBN Legal business name Mardak, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2015
Last updated Jun 14th, 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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