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Contact Information

NICOLE M VICTOR
42-77 65TH PLACE
KIDS TIME THERAPIES
WOODSIDE, NY11377
 Phone: 718-429-2000
 Fax: 718-429-0057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for NICOLE M VICTOR · (Female)

NPI Number 1780042721
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2016
Last updated 02/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 008642-1
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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