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NPI Code Detail

MEDICARE: NICOLE GIESEN AU.D

MEDICARE: NICOLE GIESEN AU.D
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
1231H00000XAudiologist002801NY

General Provider Information

NPI Number : 1356827497
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE GIESEN AU.D
Provider Business Mailing Address
First Line : 3181 LONG BEACH RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-4107
Country : US
Telephone Number : 516-208-2000
Fax Number :
Provider Business Practice Location Address
First Line : 3181 LONG BEACH RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-4107
Country : US
Telephone Number : 516-208-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2018
Last Update Date : 01/10/2019

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