Provider Demographics
NPI:1598203150
Name:ALLGAIER, NICOLE ANN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ANN
Last Name:ALLGAIER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2082 BUSKIRK WEST HOOSICK RD
Mailing Address - Street 2:
Mailing Address - City:BUSKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:12028-1707
Mailing Address - Country:US
Mailing Address - Phone:518-205-5449
Mailing Address - Fax:
Practice Address - Street 1:2082 BUSKIRK WEST HOOSICK RD
Practice Address - Street 2:
Practice Address - City:BUSKIRK
Practice Address - State:NY
Practice Address - Zip Code:12028-1707
Practice Address - Country:US
Practice Address - Phone:518-205-5449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029277225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist