SearchNew York363LA2200X

Courtney Nicholas, NP

NPI 1700238623 · on the registry since 2016 · sole proprietor

Practice

Address
1723 N Ocean Ave
Medford, NY 11763
Phone
(631) 758-5858
Clinicians at this address
12

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-07-02

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