Dina Nicklas

NPI #1003696600 in Deer Park, New York

Provider Information

NPI Number
1003696600
Entity Type
Individual
Name
Dina Nicklas
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date
Oct 2, 2023
Last Updated
Oct 2, 2023

Practice Location

Address
84 WRIGHT AVE
ZIP Code
11729-2808
Phone
(631) 241-5928

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Psychiatric/Mental HealthPsychiatric/Mental Health

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