Dornicik, Nicole Elizabeth

Dornicik, Nicole Elizabeth is an individual health care provider with primary practice located at 292 Shade Tree Ln , Riverhead NY 11901-5020. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Dornicik, Nicole Elizabeth can be contacted via phone (631) 727-8050.

Contact Information

Primary practice address
292 Shade Tree Ln Riverhead NY 11901-5020
Phone: (631) 727-8050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 002488-1 New York

Profile Details

NPI number 1568803369
LBN Legal business name Dornicik, Nicole Elizabeth
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Apr 6th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568803369 NPPES
New York Other A400091836 MEDICARE PARTICIPATION NUMBER (PTAN #)

Popular Providers