Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Nicholas

Individual provider Specialist · NPI 1386991776

Kathleen Nicholas is a Specialist in Bayside, New York. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

21426 41st Ave
Bayside, NY 11361-2159
Phone: (718) 631-1110
Fax: (718) 631-1314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1386991776
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2012
Last updated in NPPESAugust 6, 2012

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