Provider Demographics
NPI:1215599329
Name:CHAPLIK, NICOLE NAOMI (ATC)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:NAOMI
Last Name:CHAPLIK
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4078 NOSTRAND AVE APT 1C
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2278
Mailing Address - Country:US
Mailing Address - Phone:347-628-7725
Mailing Address - Fax:
Practice Address - Street 1:4078 NOSTRAND AVE APT 1C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2278
Practice Address - Country:US
Practice Address - Phone:347-628-7725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer