Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRTA NICOLAS
Active Sole ProprietorMIRTA NICOLAS is a Community/Behavioral Health healthcare provider located in SPRING VALLEY, New York. NPI 1730881459 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · SPRING VALLEY, NY
Registration Details
- NPI Number
- 1730881459
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 17, 2023 (3.4522507275236 yrs)
- Last Updated
- Mar 17, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
22 JOHN STSPRING VALLEY, NY, 109775733Browse NY providers · Browse ZIP 10977
- Phone
- 8456592845
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.