OrganizationActive
Nicole Harris
NPI 1992186712 · Nursing Facility/Intermediate Care Facility · Newark, NY
Provider details
- NPI number
- 1992186712
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nicole Harris, Licensed Practical Nurse(315) 945-0474
- License
- 691244271 (NY)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
132 Willow Avenue
Newark, NY 14513
Phone: (315) 945-0474
Approximate (ZIP-level) locationGet directions
Mailing address
132 Willow Aveneue
Newark, NY 14513
Registry dates
- Enumerated
- 2015-06-17
- Last updated
- 2015-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.