MS. EDLYN EUGENE NICHOLS


Address: 2233 Nostrand Ave Ste 2, Brooklyn, NY 11210-3029
Phone: 7188599760

MS. EDLYN EUGENE NICHOLS (NPI# 1598041527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598041527
Entity Type Individual
Full Name MS. EDLYN EUGENE NICHOLS
Practice Address 2233 Nostrand Ave Ste 2
Brooklyn
NY 11210-3029
Mailing Address 165 Martense St
Brooklyn
NY 11226-3303
Practice Telephone 7188599760
Practice Fax Number 7188599767
Mailing Telephone 7188599760
Mailing Fax Number 7188599767
Enumeration Date 2011-10-21
Last Update Date 2011-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 2233 NOSTRAND AVE STE 2
City BROOKLYN
State NY
Zip Code 11210-3029

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164707394 Patricia Merline Miller Case Manager/Care Coordinator 2233 Nostrand Ave Ste 2, Brooklyn, NY 11210-3029 2011-10-19
1982242624 Wanda Magloire Social Worker 2233 Nostrand Ave Ste 2, Brooklyn, NY 11210-3029 2019-12-12
1396200499 Molly Elizabeth Reichelderfer Social Worker 2233 Nostrand Ave Ste 2, Brooklyn, NY 11210-3029 2019-02-04
1124500889 Christina A Taylor Student in an Organized Health Care Education/Training Program 2233 Nostrand Ave Ste 2, Brooklyn, NY 11210-3029 2018-08-29
1356885594 Michelle Richards Counselor 2233 Nostrand Ave Ste 2, Brooklyn, NY 11210-3029 2016-12-07
1609237296 Jamel Blake Case Manager/Care Coordinator 2233 Nostrand Ave Ste 2, Brooklyn, NY 11210-3029 2016-03-10
1790041531 Durriyya Abdullah Registered Nurse 2233 Nostrand Ave Ste 2, Brooklyn, NY 11210-3029 2012-04-05

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11210

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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