Individual provider · Type 1 NPI
Andrew Nicosia
Student in an Organized Health Care Education/Training Program · Tonawanda, NY
NPI number
1104741891
Active
Practice location
15 Lynbrook Dr
Tonawanda, NY 14150-4222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 104753I (NY) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Tonawanda
About NPI 1104741891
Andrew Nicosia's National Provider Identifier is 1104741891, issued on Aug 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tonawanda, NY. The record was last updated on Aug 11, 2026.