Individual provider · Type 1 NPI

Joan Elizabeth Nicotra

Specialist · Port Jefferson Station, NY

NPI number 1003513896 Active

Practice location

299 Hallock Ave
Port Jefferson Station, NY 11776-1217

Call (631) 473-4284 Map

Mailing address

4 Kimberley Ct
Lake Grove, NY 11755-2753

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003513896

Joan Elizabeth Nicotra's National Provider Identifier is 1003513896, issued on Feb 13, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Feb 13, 2023.