Provider Demographics
NPI:1467277384
Name:APOLLON, NADINE
Entity type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:APOLLON
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 1:607 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-1003
Mailing Address - Country:US
Mailing Address - Phone:516-451-9736
Mailing Address - Fax:
Practice Address - Street 1:607 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-1003
Practice Address - Country:US
Practice Address - Phone:516-451-9736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist