Provider Demographics
NPI:1114680774
Name:DINOME, NICOLETTE T
Entity Type:Individual
Prefix:MS
First Name:NICOLETTE
Middle Name:T
Last Name:DINOME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1861 E 34TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4429
Mailing Address - Country:US
Mailing Address - Phone:347-448-7436
Mailing Address - Fax:
Practice Address - Street 1:1420 E 68TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5708
Practice Address - Country:US
Practice Address - Phone:347-448-7436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist