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NPI Code Detail

MEDICARE: NICOLE SPERLING

MEDICARE: NICOLE SPERLING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker092434NY

General Provider Information

NPI Number : 1215396858
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SPERLING
Provider Business Mailing Address
First Line : 2421 HUNTRIDE DR.
Second Line :
City : CLIFTON PARK
State : NY
Zip : 12065
Country : US
Telephone Number : 631-834-1784
Fax Number :
Provider Business Practice Location Address
First Line : 673 COLUMBIA TPKE
Second Line :
City : EAST GREENBUSH
State : NY
Zip : 12061-2130
Country : US
Telephone Number : 518-233-0544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2016
Last Update Date : 02/10/2016

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Directions to “ NICOLE SPERLING ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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