Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 022260-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 022260-1 | NY |
NPI | 1073669941 |
---|---|
Provider Name | Dr. Nicole Schiffmacher |
First Address | Huntington Station, NY 11746-4016 |
Second Address | Bohemia, NY 11716-1204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2007 |
Last Update Date | 19/12/2013 |