White, Nicole

White, Nicole is an sole proprietor health care provider with primary practice located at 70 N Country Rd Ste 103 , Port Jefferson NY 11777-2161. 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. White, Nicole can be contacted via phone (631) 938-1565.

Contact Information

Primary practice address
70 N Country Rd Ste 103 Port Jefferson NY 11777-2161
Phone: (631) 938-1565
Fax: (321) 865-1179
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 027206 New York

Profile Details

NPI number 1114642022
LBN Legal business name White, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2022
Last updated Oct 4th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114642022 NPPES
New York Other 1487104261 PROFESSIONAL OCCUPATIONAL PHYSICAL THERAPY, PLLC

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