Shore, Nichole

Shore, Nichole is an individual health care provider with primary practice located at 130 Montauk Hwy , East Moriches NY 11940-1153. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Shore, Nichole can be contacted via phone (631) 874-0571.

Contact Information

Primary practice address
130 Montauk Hwy East Moriches NY 11940-1153
Phone: (631) 874-0571
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 022946 New York

Profile Details

NPI number 1366926727
LBN Legal business name Shore, Nichole
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2018
Last updated Sep 21st, 2018 - about 7 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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