MEDICARE: NICOLE FOLGEN

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1447908801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE FOLGEN

Provider Business Mailing Address
First Line	:	2555 OCEAN AVE STE 206
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4585
Country	:	US
Telephone Number	:	718-540-2142
Fax Number	:

Provider Business Practice Location Address
First Line	:	2555 OCEAN AVE STE 206
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4585
Country	:	US
Telephone Number	:	718-540-2142
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2022
Last Update Date	:	03/15/2022

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Directions to “ NICOLE FOLGEN ” Practice Location

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