Nicole A Servidio
Specialist in Staten Island, New York
1962081570- Practice location
- 4131 Richmond Ave, Staten Island, NY 10312-5633
- Phone
- 718-351-0308
- Fax
- —
- Last updated
- April 2, 2021
Nicole Amanda Servidio is a Specialist based in Staten Island, NY. Nicole Amanda Servidio practices in Staten Island, NY. The NPI Number for Nicole Amanda Servidio is 1962081570. The current practice location address for Nicole Amanda Servidio is 4131 Richmond Ave, Staten Island, NY 10312-5633 and can be reached out via phone at 718-351-0308.
Provider Profile Details
- NPI Number
- 1962081570
- Provider Name
- Nicole Amanda Servidio
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4131 Richmond Ave, Staten Island, NY 10312-5633
- Phone Number
- 718-351-0308
- Primary Taxonomy
- Specialist · 174400000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2021
- Last Update Date
- April 2, 2021
- Certification Date
- April 2, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4131 Richmond Ave
Staten Island, NY 10312-5633 - City
- Staten Island
- State
- New York
- Zip
- 10312-5633
- Phone Number
- 718-351-0308
Provider Business Mailing Address Details
- Address
- 30 Charleston Ave
Staten Island, NY 10309-1608 - City
- Staten Island
- State
- NY
- Zip
- 10309-1608
- Phone Number
- 917-573-0451
License Information
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Staten Island, NY
View all Specialists in Staten Island →Frequently Asked Questions
What is the NPI number of Nicole A Servidio?
The NPI number of Nicole A Servidio is 1962081570. It was assigned on April 2, 2021 and is currently active in the NPPES registry.
What is the specialty of Nicole A Servidio?
Nicole A Servidio is registered under the primary taxonomy Specialist (code 174400000X).
Where does Nicole A Servidio practice?
The practice location is 4131 Richmond Ave, Staten Island, NY 10312-5633. The office can be reached at 718-351-0308 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1962081570 directly on the NPPES registry website.