MS. Laura Nickolai, COMS; CVRT

NPI #1659634723 in Clay, New York

Provider Information

NPI Number: 1659634723
Entity Type: Individual
Name: MS. Laura Nickolai, COMS; CVRT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: COMS; CVRT
Enumeration Date: Jun 22, 2012
Last Updated: Jun 22, 2012

Practice Location

Address: 8017A MARLIN DR
City: Clay
State: New York
ZIP Code: 13041-8926
Phone: (315) 699-6133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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