Individual provider · NPI-1

Nicole M Esquenet, D.O.

Family Medicine · Mineola, NY

NPI number1174621692
StatusActive
Last updated in NPPESJun 27, 2013

Details

NPI
1174621692
Entity type
Individual (NPI-1)
Name
Nicole M Esquenet
Credential
D.O.
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 20, 2006
Last updated
Jun 27, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine226373NYYes

Practice location

393 Sagamore Ave
Mineola, NY 11501-1919

Phone 516-909-5888 · Fax 516-629-6375

Mailing address

393 Sagamore Ave
Mineola, NY 11501-1919

Phone 516-909-5888 · Fax 516-629-6375

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