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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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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