Dina Nicklas, - Nurse Practitioner in Deer Park, NY

Dina Nicklas, is a Nurse Practitioner - Psychiatric/mental Health based in Deer Park, New York. Dina Nicklas is licensed to practice in New York (license number 405355) and her current practice location is 84 Wright Ave, Deer Park, New York. She can be reached at her office (for appointments etc.) via phone at (631) 241-5928.

NPI number for Dina Nicklas is 1003696600 and her current mailing address is 84 Wright Ave, Deer Park, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003696600.

Contact Information

Dina Nicklas,
84 Wright Ave,
Deer Park, NY 11729-2808
(631) 241-5928
Not Available

Map and Direction




Provider's Profile

Full NameDina Nicklas
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location84 Wright Ave, Deer Park, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003696600
  • Provider Enumeration Date: 10/02/2023
  • Last Update Date: 10/02/2023

Medical Identifiers

Medical identifiers for Dina Nicklas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003696600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 405355 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dina Nicklas is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dina Nicklas,
84 Wright Ave,
Deer Park, NY 11729-2808

Ph: (631) 241-5928
Dina Nicklas,
84 Wright Ave,
Deer Park, NY 11729-2808

Ph: (631) 241-5928

Reviews and Comments


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