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Contact Information

NICOLE LANZA
3142 MORLEY AVENUE
STATEN ISLAND, NY10306
 Phone: 646-354-0940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NICOLE LANZA · (Female)

NPI Number 1033479308
Status Active
Credentials
Entity Individual
Enumeration date 05/21/2012
Last updated 06/18/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 550381111
  • NY License # 550415111
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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