Nico Pa Pc

NPI 1497930531 - Physician Assistant - 363AS0400X

NPI Details
NPI 1497930531
Enumeration Date 01/08/2008
Last Updated 01/08/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name NICK N NICK
Position SOLE PROPRIETER
Phone (917) 388-7644
Fax
Practice Location
14 KIRKWOOD RD
2ND FLOOR
PORT WASHINGTON NY, 11050-1437, US
Phone (917) 388-7644
Fax
Business Location
127 S BROADWAY
YONKERS NY, 10701-4006, US
Phone (917) 388-7644
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 009001
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According to our database, Nico Pa Pc NPI is 1497930531, taxonomy code is 363AS0400X and license number is 009001, license state is located at New York. Nico Pa Pc physically located at 14 Kirkwood Rd, Port Washington NY, 11050-1437. NPI Number 1033115704 has the healthcare provider type.

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1497930531 NPI number is provided on an as is basis without warranty of any kind. 1497930531 is maintained by the National Plan & Provider Enumeration System. The contents of Nico Pa Pc are for informational purposes only.