Search › New York › 174400000X
Nicole Innace
NPI 1578974630 · on the registry since 2014 · sole proprietor
Practice
- Address
- 45 Timber Ridge Dr
Holbrook, NY 11741 - Phone
- (631) 472-8162
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 174400000X
174400000X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-04-10
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