Nicole M. Zompa
Specialist in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1962369652
StatusActive
Last updated in NPPESJan 6, 2026
Details
- NPI
- 1962369652
- Entity type
- Individual (NPI-1)
- Name
- Nicole M. Zompa
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2026
- Certification date
- Jan 6, 2026
- Last updated
- Jan 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
299 Hallock AvePort Jefferson Station, NY 11776-1217
Phone 631-469-3076
Mailing address
630 S 11th StNew Hyde Park, NY 11040-5563
Phone 516-732-0532
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All 99 Specialist providers in Port Jefferson Station · All 1,186 providers in Port Jefferson Station
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