| Organization Name: | NICOLE FRONTERA FAMILY HEALTH NURSE PRACTITIONER, PLLC |
| NPI Number: | 1922402379 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE FRONTERA (FAMILY NURSE PRACTITIONER) |
| Mailing Address: | 173 Beach 140th St Belle Harbor |
| State: | NY US |
| Postal Code: | 116941219 |
| Phone Number: | 3479677739 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2014 |
| NPI Last Update Date: | 10/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | F337740 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |