MRS. Nicole Pethic, MSE

NPI #1558619734 in Saugerties, New York

Provider Information

NPI Number: 1558619734
Entity Type: Individual
Name: MRS. Nicole Pethic, MSE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MSE
Enumeration Date: Aug 20, 2012
Last Updated: Aug 20, 2012

Practice Location

Address: 268 W SAUGERTIES RD
City: Saugerties
State: New York
ZIP Code: 12477-3142
Phone: (845) 247-8777

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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