Provider Demographics
NPI:1801969258
Name:NEREO, NANCY E (PHD)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:NEREO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:117 W 72ND ST
Mailing Address - Street 2:SUITE 5E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3204
Mailing Address - Country:US
Mailing Address - Phone:917-952-6064
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL FOR SPECIAL SURGERY, REHABILITATION DEPT.
Practice Address - Street 2:535 EAST 70TH STREET, PEDIATRICS SECTION, 5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-606-1354
Practice Address - Fax:212-774-2761
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY14662103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical