Individual provider · Type 1 NPI

Nicole Amanda Servidio

Specialist · Staten Island, NY

NPI number 1962081570 Active

Practice location

4131 Richmond Ave
Staten Island, NY 10312-5633

Mailing address

30 Charleston Ave
Staten Island, NY 10309-1608

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 1962081570

Nicole Amanda Servidio's National Provider Identifier is 1962081570, issued on Apr 2, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 2, 2021.