Most Relevant Information
Provider Data
| NPI Number: | 1003411430 |
| Provider Name: | NICHOLAS PRAKOPE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 046626 |
Most Important Dates
| Enumeration Date: | 12/03/2020 |
| Last Updated: | 12/03/2020 |
Provider Practice Location
1783 GRAND AVE
NORTH BALDWIN
NY
115102429
Practice Location Phone/Fax
| Phone: | 5166232841 |
| Fax: | 5166232892 |
Provider Mailing Location
576 BROADHOLLOW RD
MELVILLE
NY
117475002
Provider Mailing Phone/Fax
| Phone: | 6313595859 |
| Fax: |