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

Nicole A Imbesi

Individual provider Specialist · NPI 1417793050

Nicole A Imbesi is a Specialist in Westbury, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1400 Old Country Rd Ste C103N
Westbury, NY 11590-5156
Phone: (516) 747-9030
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1422080201 (NY)
Specialist Taxonomy 174400000X · Licence 1735653231 (NY)

Record details

NPI number1417793050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

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