Most Relevant Information
Provider Data
| NPI Number: | 1003174558 |
| Provider Name: | NICOLETTE ALECIA, ROXANNE CARNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 007507 |
Most Important Dates
| Enumeration Date: | 05/02/2012 |
| Last Updated: | 05/02/2012 |
Provider Practice Location
102-27 183PL
HOLLIS
NY
11423
Practice Location Phone/Fax
| Phone: | 7184548317 |
| Fax: |
Provider Mailing Location
10227 183RD PL
HOLLIS
NY
114233101
Provider Mailing Phone/Fax
| Phone: | 7184548317 |
| Fax: |