Cimino-Nardolillo, Nicole
Cimino-Nardolillo, Nicole is an individual health care provider with primary practice located at 125 Oakland Ave Suite 204, Port Jefferson NY 11777-2130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cimino-Nardolillo, Nicole can be contacted via phone (631) 686-2524.Contact Information
Primary practice address
125 Oakland Ave Suite 204
Port Jefferson NY 11777-2130
Phone: (631) 686-2524
Fax: (631) 686-2526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 7131506 | New York |
Profile Details
| NPI number | 1891071544 |
|---|---|
| LBN Legal business name | Cimino-Nardolillo, Nicole |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2011 |
| Last updated | Jun 6th, 2016 - about 8 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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