Individual provider · Type 1 NPI

Nicole Bifulco

Surgical Physician Assistant · Brooklyn, NY

NPI number 1053776476 Active

Practice location

150 55th St
Brooklyn, NY 11220-2508

Mailing address

15839 81st St
Howard Beach, NY 11414-2920

Other practice locations

  • 8268 164th St, Jamaica, NY 11432-1121 · (718) 883-3000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1053776476

Nicole Bifulco's National Provider Identifier is 1053776476, issued on Dec 30, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 9, 2022.