Nicotra, Jessica
Nicotra, Jessica is an sole proprietor health care provider with primary practice located at 3251 Route 112 Ste 2 , Medford NY 11763-1446. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Nicotra, Jessica can be contacted via phone (631) 451-6007.Contact Information
Primary practice address
3251 Route 112 Ste 2
Medford NY 11763-1446
Phone: (631) 451-6007
Fax: (631) 297-8121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 086079-01 | New York |
Profile Details
| NPI number | 1609172162 |
|---|---|
| LBN Legal business name | Nicotra, Jessica |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2011 |
| Last updated | Jun 17th, 2021 - 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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