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Dina Nicklas
Psychiatric/Mental Health Nurse Practitioner in Deer Park, New York
NPI 1003696600

Dina Nicklas is a Psychiatric/Mental Health Nurse Practitioner based in Deer Park, NY and is specialized in Psychiatric/Mental Health. Dina Nicklas practices in Deer Park, NY. The NPI Number for Dina Nicklas is 1003696600 and holds a License No. 405355 (New York).

The current practice location address for Dina Nicklas is 84 Wright Ave, Deer Park, NY and can be reached out via phone at 631-241-5928.

Location: 84 Wright Ave, Deer Park, NY, 11729-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003696600
Provider Name
Dina Nicklas
Credential
Provider Entity Type
Individual
Gender
Female
Address
84 Wright Ave, Deer Park, NY, 11729-2808
Phone Number
631-241-5928
Fax Number
Provider Enumeration Date
10/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
84 Wright Ave
City
Deer Park
State
New York
Zip
11729-2808
Phone Number
631-241-5928
Fax Number
person
Provider Business Mailing Address Details
Address
84 Wright Ave
City
Deer Park
State
New York
Zip
11729-2808
Phone Number
631-241-5928
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
405355 (New York)
Definition
Definition to come...
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