| Nicole Solimine Mondrone | |
|
92 Dovecote Ln Commack NY 11725-2748 | |
| (631) 462-2465 | |
| Not Available |
| Full Name | Nicole Solimine Mondrone |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 92 Dovecote Ln, Commack, New York |
| Authorized Official Name and Position | Nicole Mondrone (BCBA) |
| Authorized Official Contact | 5164927066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Solimine Mondrone 92 Dovecote Ln Commack NY 11725-2748 Ph: (631) 462-2465 | Nicole Solimine Mondrone 92 Dovecote Ln Commack NY 11725-2748 Ph: (631) 462-2465 |
| NPI Number | 1801245071 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801245071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000164-1 (New York) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 000164-1 (New York) | Secondary |
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