Nickerson, Nicole

Nickerson, Nicole is an sole proprietor health care provider with primary practice located at 70 N Ocean Ave , Ronkonkoma NY 11779-5016. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Nickerson, Nicole can be contacted via phone (631) 375-9055.

Contact Information

Primary practice address
70 N Ocean Ave Ronkonkoma NY 11779-5016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 000523 New York

Profile Details

NPI number 1750789939
LBN Legal business name Nickerson, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2014
Last updated Dec 19th, 2014 - about 12 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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