| Nicole Aileen Mott, LPN | |
|
1166 E 3rd Ave, Bay Shore, NY 11706-5536 | |
| (631) 523-1432 | |
| Not Available |
| Full Name | Nicole Aileen Mott |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1166 E 3rd Ave, Bay Shore, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073719241 | NPI | - | NPPES |
| 02868220 | Medicaid | NY | |
| 287120-1 | Other | NY | LPN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 287120-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Aileen Mott, LPN 1166 E 3rd Ave, Bay Shore, NY 11706-5536 Ph: (631) 523-1432 | Nicole Aileen Mott, LPN 1166 E 3rd Ave, Bay Shore, NY 11706-5536 Ph: (631) 523-1432 |
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