Most Relevant Information
Provider Data
| NPI Number: | 1003670456 |
| Provider Name: | NICOLE BERMISA FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 353564 |
Most Important Dates
| Enumeration Date: | 02/07/2024 |
| Last Updated: | 02/07/2024 |
Provider Practice Location
1275 YORK AVE
NEW YORK
NY
100656007
Practice Location Phone/Fax
| Phone: | 2126397566 |
| Fax: |
Provider Mailing Location
9010 32ND AVE APT 504
EAST ELMHURST
NY
113692299
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |