NICOLE J BROCK

RAYMOND N CECORA PT PC

Dr NICOLE J BROCK is a female medical professional, specializing in Physical Therapy. She graduated in 2013 from State University Of New York At Stony Brook, School Of Medicine.

Contact

RAYMOND N CECORA PT PC

5500 MERRICK RD
MASSAPEQUA
NY
117586231

Tel: 5167983789

NICOLE J BROCK Information

Npi 1376974774
Pac Id 5193036978
Professional Enrollment Id I20150619001567
Last Name BROCK
First Name NICOLE
Middle Name J
Suffix
Gender F
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year 2013
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RAYMOND N CECORA PT PC
Group Practice Pac Id 6002889946
Number Of Group Practice Members 6
Line 1 Street Address 5500 MERRICK RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MASSAPEQUA
State NY
Zip Code 117586231
Phone Number 5167983789
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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