Mooney, Nicole Eleni

Mooney, Nicole Eleni is an individual health care provider with primary practice located at 1425 Portland Ave , Rochester NY 14621-3001. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Mooney, Nicole Eleni can be contacted via phone (585) 922-3553.

Contact Information

Primary practice address
1425 Portland Ave Rochester NY 14621-3001
Phone: (585) 922-3553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 052299 New York

Profile Details

NPI number 1366535544
LBN Legal business name Mooney, Nicole Eleni
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 20th, 2014 - about 11 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 1366535544 NPPES
New York MEDICAID 02683365

Popular Providers