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

Mrs. Nicolea Alicia Hudson-Jack, AAS

Individual provider Occupational Therapy Assistant · NPI 1598533200

Mrs. Nicolea Alicia Hudson-Jack, AAS is an Occupational Therapy Assistant in South Ozone Park, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

12952 135th St
South Ozone Park, NY 11420-3542
Phone: (917) 941-8617
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 004266 (NY)

Record details

NPI number1598533200
Entity typeIndividual (Type 1)
GenderFemale
Credentials AAS
Sole proprietorNo
NPI enumeratedDecember 13, 2023
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023

Other providers in South Ozone Park