SearchNew York164W00000X

Nicole Knickerbocker, LPN

NPI 1427804863 · on the registry since 2024 · sole proprietor

Practice

Address
183 Main St Apt 3
Brockport, NY 14420
Phone
(607) 621-0472

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-26

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