Individual provider · Type 1 NPI

Nicole Marie Willis

Specialist · Melville, NY

NPI number 1235519307 Active

Practice location

538 Broadhollow Rd Ste 202
Melville, NY 11747-3668

Call (631) 385-7780 Map

Mailing address

9 Bear Street
Selden, NY 11784

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 1235519307

Nicole Marie Willis's National Provider Identifier is 1235519307, issued on Jun 4, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Melville, NY. The record was last updated on Jun 4, 2015.