Most Relevant Information
Provider Data
| NPI Number: | 1003687997 |
| Provider Name: | NIKKI POLIEY |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/10/2024 |
| Last Updated: | 01/10/2024 |
Provider Practice Location
13A DICKINSON AVE
NYACK
NY
109602914
Practice Location Phone/Fax
| Phone: | 8453537000 |
| Fax: |
Provider Mailing Location
279 JERSEY AVE
GREENWOOD LAKE
NY
109254129
Provider Mailing Phone/Fax
| Phone: | 8622001466 |
| Fax: |