Search › New York › 103T00000X
Shana Nichols, PHD
NPI 1073605614 · on the registry since 2006 · sole proprietor
Practice
- Address
- 63 Old East Neck Rd
Melville, NY 11747 - Phone
- (631) 923-0923
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TC0700X
103TC0700X
103TC0700X - Licence states on file
- NY, CO, MO, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York