Individual provider · Type 1 NPI

Nicole Delvecchio, NP

Adult Health Nurse Practitioner · Port Jefferson Station, NY

NPI number 1356860464 Active

Practice location

931 Hallock Ave
Port Jefferson Station, NY 11776-1228

Mailing address

210 Windward Ct N
Port Jefferson, NY 11777-2333

Other practice locations

  • 75 N Country Rd, Port Jefferson, NY 11777-2119 · (631) 473-1320

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X557210-1 (NY)
Adult Health Nurse Practitioner Primary 363LA2200XF308477-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1356860464

Nicole Delvecchio, NP's National Provider Identifier is 1356860464, issued on Sep 11, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Oct 4, 2018.