Anderson, Nicole

Anderson, Nicole is an individual health care provider with primary practice located at 2176 State Route 32 , Modena NY 12548-5211. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Anderson, Nicole can be contacted via phone (845) 514-5557.

Contact Information

Primary practice address
2176 State Route 32 Modena NY 12548-5211
Phone: (845) 514-5557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 021282-1 New York

Profile Details

NPI number 1275074148
LBN Legal business name Anderson, Nicole
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2017
Last updated Apr 5th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275074148 NPPES
New York MEDICAID 1275074148

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