Tancredi, Nicole Marie
Tancredi, Nicole Marie is an individual health care provider with primary practice located at 26 Nottinghill Dr , Massapequa NY 11758-3238. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Tancredi, Nicole Marie can be contacted via phone (516) 510-2178.Contact Information
Primary practice address
26 Nottinghill Dr
Massapequa NY 11758-3238
Phone: (516) 510-2178
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1124400072 |
|---|---|
| LBN Legal business name | Tancredi, Nicole Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2015 |
| Last updated | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124400072 | NPPES |
| New York | MEDICAID | 04476211 |
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