NPI 1134376874

Nicole V. Daisy-Etienne, PHD

Practitioner Psychologist Rockville Centre, NY

Practice location

Address: 165 N Village Ave Suite 200, Rockville Centre, NY 11570-3761
Phone: (516) 318-2489
Fax: (516) 255-4101
Mailing address: 165 N Village Ave STE 200, Rockville Centre, NY 11570-3701

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 017667 (NY)

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Registry record

NPI: 1134376874
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2008
Record last updated: 9 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.