Individual provider · Type 1 NPI

Nicole Marie Vessalico

Specialist · Massapequa, NY

NPI number 1376972158 Active

Practice location

17 Cottage Dr
Massapequa, NY 11758-6127

Call (516) 815-4285 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X887871 (NY)

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 1376972158

Nicole Marie Vessalico's National Provider Identifier is 1376972158, issued on Nov 2, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa, NY. The record was last updated on May 16, 2017.