Nicklas, Dina

Nicklas, Dina is an sole proprietor health care provider with primary practice located at 84 Wright Ave , Deer Park NY 11729-2808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Nicklas, Dina can be contacted via phone (631) 241-5928.

Contact Information

Primary practice address
84 Wright Ave Deer Park NY 11729-2808
Phone: (631) 241-5928
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 405355 New York

Profile Details

NPI number 1003696600
LBN Legal business name Nicklas, Dina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2023
Last updated Oct 2nd, 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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