MEDICARE: NICOLETTA E VENETIS

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	225X00000X	Occupational Therapist	030827	NY

General Provider Information

NPI Number	:	1992662035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLETTA E VENETIS

Provider Business Mailing Address
First Line	:	535 PLANDOME RD
Second Line	:
City	:	MANHASSET
State	:	NY
Zip	:	11030-1974
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5847 FRANCIS LEWIS BLVD
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11364-1698
Country	:	US
Telephone Number	:	718-454-0842
Fax Number	:

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

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/10/2026

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Directions to “ NICOLETTA E VENETIS ” Practice Location

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