Nicole Brunnhoelzl, MS, ATC/L
Community Health Worker in Garden City, NY. Individual provider (NPI-1).
NPI number1508239294
StatusActive
Last updated in NPPESNov 4, 2015
Details
- NPI
- 1508239294
- Entity type
- Individual (NPI-1)
- Name
- Nicole Brunnhoelzl
- Credential
- MS, ATC/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2015
- Last updated
- Nov 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | 002879 | NY | Yes |
Practice location
1300 Franklin AveGarden City, NY 11530-1886
Phone 516-663-9099
Mailing address
77 Wolcott RdLevittown, NY 11756-1930
Phone 516-852-7028
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