IndividualActive
Nicole Golbari
NPI 1255891016 · MOHS-Micrographic Surgery Physician · Port Jefferson, NY
Provider details
- NPI number
- 1255891016
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 333046 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 686-2517
Approximate (ZIP-level) locationGet directions
Mailing address
75 N Country Rd
Port Jefferson, NY 11777-2119
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2026-01-16
- Certified
- 2026-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.