Provider Demographics
NPI:1285903633
Name:GIAMPA MESSINA, NICOLE ROSE (MS TSHH)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ROSE
Last Name:GIAMPA MESSINA
Suffix:
Gender:F
Credentials:MS TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 MIDLAND AVE
Mailing Address - Street 2:APT. 3B
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-6047
Mailing Address - Country:US
Mailing Address - Phone:914-552-5213
Mailing Address - Fax:
Practice Address - Street 1:1468 MIDLAND AVE
Practice Address - Street 2:APT. 3B
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-6047
Practice Address - Country:US
Practice Address - Phone:914-552-5213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171WH0202X
NY607193051171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications