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

Individual provider Speech-Language Pathologist · NPI 1093149676

Nicole Hagan is a Speech-Language Pathologist in Woodside, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

42-00 72nd Street Nyc Dept OF Education- P.s 12
Woodside, NY 11377
Phone: (516) 395-9134
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Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 024019 (NY)

Record details

NPI number1093149676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 30, 2013
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020
Mailing address456 Spruce Ln, East Meadow, NY 11554-3704

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