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NPI Code Detail

MEDICARE: NICHOLAS PORRICELLI

MEDICARE:   NICHOLAS  PORRICELLI
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1891645636
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS PORRICELLI
Provider Business Mailing Address
First Line : 60 HAVEN AVE APT 6B
Second Line :
City : NEW YORK
State : NY
Zip : 10032-2605
Country : US
Telephone Number : 203-962-3892
Fax Number :
Provider Business Practice Location Address
First Line : 60 HAVEN AVE APT 6B
Second Line :
City : NEW YORK
State : NY
Zip : 10032-2605
Country : US
Telephone Number : 203-962-3892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2026
Last Update Date : 01/31/2026

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Directions to “ NICHOLAS PORRICELLI ” Practice Location

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