Nichole Shore, OTR is a
Occupational Therapist based in East Moriches, New York. Nichole Shore is licensed to practice in New York (license number 022946) and her current practice location is
130 Montauk Hwy, East Moriches, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 874-0571.
NPI number for Nichole Shore is 1366926727 and her current mailing address is 50 Chichester Ave, Center Moriches, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366926727.
Healthcare Provider's Profile
| Full Name | Nichole Shore |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
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| Location | 130 Montauk Hwy, East Moriches, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366926727
- Provider Enumeration Date: 09/21/2018
- Last Update Date: 09/21/2018
Medical Identifiers
Medical identifiers for Nichole Shore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366926727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 022946 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Shore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nichole Shore, OTR
50 Chichester Ave,
Center Moriches, NY 11934-2002
Ph: () - | Nichole Shore, OTR
130 Montauk Hwy,
East Moriches, NY 11940-1153
Ph: (631) 874-0571 |
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