Individual provider · Type 1 NPI

Nicole Leslie Pankin

Specialist · Fresh Meadows, NY

NPI number 1043859879 Active

Practice location

6143 186th St
Fresh Meadows, NY 11365-2710

Call (929) 200-7105 Map

Mailing address

650 W 171st St Apt 3C
New York, NY 10032-3130

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 1043859879

Nicole Leslie Pankin's National Provider Identifier is 1043859879, issued on Dec 26, 2019. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fresh Meadows, NY. The record was last updated on Dec 26, 2019.