National Provider Identifier
Nicole Maciejewski, PTA
Nicole Maciejewski, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Irving, NY and a listed phone number of (716) 868-8814.
Profile Overview
- NPI
- 1821688524
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- January 26, 2021
- Last Updated
- January 26, 2021
Practice Location
- 918 Post RD
- Irving, NY 14081-9667
Phone: (716) 868-8814
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1821688524
- Entity Type
- Individual
- Last Name
- Maciejewski
- First Name
- Nicole
- Credential
- PTA
- Mailing Street Address
- 918 Post RD
- Mailing City
- Irving
- Mailing State
- NY
- Mailing ZIP Code
- 14081-9667
- Mailing Country
- US
- Mailing Phone
- (716) 868-8814
- Practice Street Address
- 918 Post RD
- Practice City
- Irving
- Practice State
- NY
- Practice ZIP Code
- 14081-9667
- Practice Country
- US
- Practice Phone
- (716) 868-8814
- Enumeration Date
- January 26, 2021
- Last Updated
- January 26, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 26, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)