Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 939682151 | NY |
NPI | 1235513532 |
---|---|
Provider Name | Ms. Nicole Indelicato |
First Address | West Hempstead, NY 11552-3819 |
Second Address | West Hempstead, NY 11552-3819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2015 |
Last Update Date | 16/07/2015 |