Provider Demographics
NPI:1881955748
Name:WOODS, NIKKI D
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:D
Last Name:WOODS
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 1:140 E HARTSDALE AVE
Mailing Address - Street 2:APT 6J
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3333
Mailing Address - Country:US
Mailing Address - Phone:914-772-2877
Mailing Address - Fax:914-363-6450
Practice Address - Street 1:140 E HARTSDALE AVE
Practice Address - Street 2:APT 6J
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3333
Practice Address - Country:US
Practice Address - Phone:914-772-2877
Practice Address - Fax:914-363-6450
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator