Individual provider · Type 1 NPI

Nicole Staci Fridas, TSHH, MSED, PD - SAS

Specialist · Huntington Station, NY

NPI number 1629115274 Active

Practice location

33 Walt Whitman Rd, Ste 300B
Huntington Station, NY 11746-3640

Call (631) 385-7780 Map

Mailing address

7 Saddler Ct
Huntington Station, NY 11746-4200

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X33807061 (NY)
Specialist Primary 174400000X13637062 (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 1629115274

Nicole Staci Fridas, TSHH, MSED, PD - SAS's National Provider Identifier is 1629115274, issued on Jan 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Huntington Station, NY. The record was last updated on Sep 11, 2025.