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NPI Code Detail

MEDICARE: NICOLE M BILBAO

MEDICARE: NICOLE M BILBAO
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1316570666
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE M BILBAO
Provider Business Mailing Address
First Line : 9417 116TH ST
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-1237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 192 THROOP AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5334
Country : US
Telephone Number : 929-314-3207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2020
Last Update Date : 02/14/2020

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Directions to “ NICOLE M BILBAO ” 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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