Nicole A Raia
Speech-Language Pathologist, in New York, NY. Individual provider (NPI-1).
NPI number1265925762
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1265925762
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Nicole A Raia
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2018
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 028877 | NY | Yes |
Practice location
825 7th AveNew York, NY 10019-6014
Phone 212-787-8315
Mailing address
825 7th Ave Fl 4New York, NY 10019-6014
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