Mina, Nichole E

Mina, Nichole E is an sole proprietor health care provider with primary practice located at 375 E Bay Dr , Long Beach NY 11561-2350. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mina, Nichole E can be contacted via phone (516) 897-1000.

Contact Information

Primary practice address
375 E Bay Dr Long Beach NY 11561-2350
Phone: (516) 897-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1598259269
LBN Legal business name Mina, Nichole E
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2018
Last updated Jan 27th, 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.

Request for update

Popular Providers