Provider Demographics
NPI:1316201841
Name:NICHTER, KIRSTEN (MS SPECIAL EDUCATION)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:NICHTER
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 IROQUOIS PATH
Mailing Address - Street 2:
Mailing Address - City:SCOTIA
Mailing Address - State:NY
Mailing Address - Zip Code:12302-3310
Mailing Address - Country:US
Mailing Address - Phone:518-598-6989
Mailing Address - Fax:
Practice Address - Street 1:1177 IROQUOIS PATH
Practice Address - Street 2:
Practice Address - City:SCOTIA
Practice Address - State:NY
Practice Address - Zip Code:12302-3310
Practice Address - Country:US
Practice Address - Phone:518-598-6989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY738381174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist