Nicole M Donnelly
NPI #1770298499 in Lake Grove, New York
Provider Information
- NPI Number
- 1770298499
- Entity Type
- Individual
- Name
- Nicole M Donnelly
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 17, 2023
- Last Updated
- Jan 17, 2023
Practice Location
- Address
- 2233 NESCONSET HWY STE 104
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-1000
- Phone
- (631) 737-5559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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