Individual provider · Type 1 NPI

Kathleen Nicholas

Specialist · Bayside, NY

NPI number 1386991776 Active

Practice location

21426 41st Ave
Bayside, NY 11361-2159

Call (718) 631-1110 Map

Fax (718) 631-1314

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 1386991776

Kathleen Nicholas's National Provider Identifier is 1386991776, issued on Aug 6, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bayside, NY. The record was last updated on Aug 6, 2012.