Balzafiore, Nicole Gabrielle
Balzafiore, Nicole Gabrielle is an individual health care provider with primary practice located at 159 Carleton Ave , Central Islip NY 11722-4172. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Balzafiore, Nicole Gabrielle can be contacted via phone (631) 650-2510.Contact Information
Primary practice address
159 Carleton Ave
Central Islip NY 11722-4172
Phone: (631) 650-2510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 091163 | New York |
Profile Details
| NPI number | 1568040319 |
|---|---|
| LBN Legal business name | Balzafiore, Nicole Gabrielle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2021 |
| Last updated | Apr 28th, 2021 - about 3 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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