Nicole Innace is a Specialist based in Bohemia, NY. Nicole Innace practices in Holbrook, NY. The NPI Number for Nicole Innace is 1578974630 and holds a License No. 353185091 (New York).
The current practice location address for Nicole Innace is 45 Timber Ridge Dr, Holbrook, NY and can be reached out via phone at 631-472-8162.
Location: 45 Timber Ridge Dr, Holbrook, NY, 11716-1314
Provider Profile Details
NPI Number
1578974630
Provider Name
Nicole Innace
Credential
Provider Entity Type
Individual
Gender
Female
Address
45 Timber Ridge Dr, Holbrook, NY, 11716-1314
Phone Number
631-472-8162
Fax Number
Provider Enumeration Date
05/12/2014
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
45 Timber Ridge Dr
City
State
Zip
11741-4142
Phone Number
631-472-8162
Fax Number
Provider Business Mailing Address Details
Address
45 Timber Ridge Dr
City
State
Zip
11741-4142
Phone Number
631-472-8162
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
353185091 (New York)
Definition
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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