| Nicole Brill Lcsw-r | |
|
47 Essex Ct Port Washington NY 11050-4222 | |
| (516) 382-3003 | |
| Not Available |
| Full Name | Nicole Brill Lcsw-r |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 47 Essex Ct, Port Washington, New York |
| Authorized Official Name and Position | Nicole Edith Brill (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5163823003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Brill Lcsw-r 47 Essex Ct Port Washington NY 11050-4222 Ph: (516) 382-3003 | Nicole Brill Lcsw-r 47 Essex Ct Port Washington NY 11050-4222 Ph: (516) 382-3003 |
| NPI Number | 1609241702 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 12/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609241702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 034481 (New York) | Primary |
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