Marie B Nicolas

NPI #1962763946 in Astoria, New York

Provider Information

NPI Number: 1962763946
Entity Type: Individual
Name: Marie B Nicolas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 6, 2012
Last Updated: Aug 28, 2013

Practice Location

Address: 2509 BROADWAY
City: Astoria
State: New York
ZIP Code: 11106-3413
Phone: (718) 728-8476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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