Nicole Marie Urtnowski

NPI #1144581042 in Yaphank, New York

Provider Information

NPI Number: 1144581042
Entity Type: Individual
Name: Nicole Marie Urtnowski
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 6, 2012
Last Updated: Jun 6, 2012

Practice Location

Address: 27 JEFFERSON COMMONS
City: Yaphank
State: New York
ZIP Code: 11980-2019
Phone: (631) 875-2070

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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