Nicolescu-Nichols, Juliet A

Nicolescu-Nichols, Juliet A is an sole proprietor health care provider with primary practice located at 125 Oakland Ave Suite 303, Port Jefferson NY 11777-2130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Nicolescu-Nichols, Juliet A can be contacted via phone (631) 928-3122.

Contact Information

Primary practice address
125 Oakland Ave Suite 303 Port Jefferson NY 11777-2130
Phone: (631) 928-3122
Fax: (631) 928-3192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 214337 New York

Profile Details

NPI number 1225182975
LBN Legal business name Nicolescu-Nichols, Juliet A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated Feb 12th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225182975 NPPES
New York MEDICAID 02182089

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