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Mrs. Berkley Nickerson, NP
Family Nurse Practitioner in Hawthorne, New York
NPI 1881997088

Berkley Nickerson is a Family Nurse Practitioner based in Hawthorne, NY and is specialized in Family. Berkley Nickerson practices in Hawthorne, NY and has the professional credentials of NP. The NPI Number for Berkley Nickerson is 1881997088 and holds a License No. 18437 (New York).

The current practice location address for Berkley Nickerson is 19 Bradhurst Ave, Hawthorne, NY and can be reached out via phone at 914-493-7997 and via fax at 914-594-4022.

Location: 19 Bradhurst Ave, Hawthorne, NY, 10532-2140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881997088
Provider Name
Berkley Nickerson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
19 Bradhurst Ave, Hawthorne, NY, 10532-2140
Phone Number
914-493-7997
Fax Number
914-594-4022
Provider Enumeration Date
12/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04059656 05 NY
NP18437 05 CA
institution
Provider Business Practice Location Address Details
Address
19 Bradhurst Ave
City
Hawthorne
State
New York
Zip
10532-2140
Phone Number
914-493-7997
Fax Number
914-594-4022
person
Provider Business Mailing Address Details
Address
19 Bradhurst Ave
City
Hawthorne
State
New York
Zip
10532-2140
Phone Number
914-493-7997
Fax Number
914-594-4022
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
18437 (California)
Definition
Definition to come...
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