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NPI Code Detail

MEDICARE: DR. NICOLE NERETIN MD

MEDICARE: DR. NICOLE NERETIN MD
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
1207Q00000XFamily Medicine Physician201954NY

General Provider Information

NPI Number : 1649270612
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE NERETIN MD
Provider Business Mailing Address
First Line : 16 E 16TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10003-3105
Country : US
Telephone Number : 212-924-7744
Fax Number :
Provider Business Practice Location Address
First Line : 16 E 16TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10003-3105
Country : US
Telephone Number : 212-924-7744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/08/2007

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Directions to “ DR. NICOLE NERETIN MD” Practice Location

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