Donnelly, Nicole M

Donnelly, Nicole M is an individual health care provider with primary practice located at 2233 Nesconset Hwy Ste 104 , Lake Grove NY 11755-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Donnelly, Nicole M can be contacted via phone (631) 737-5559.

Contact Information

Primary practice address
2233 Nesconset Hwy Ste 104 Lake Grove NY 11755-1000
Phone: (631) 737-5559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 072650-1 New York

Profile Details

NPI number 1770298499
LBN Legal business name Donnelly, Nicole M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2023
Last updated Jan 17th, 2023 - about 2 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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