Individual provider · Type 1 NPI

Nicole Deegan, PA

Physician Assistant · Newburgh, NY

NPI number 1124990965 Active

Practice location

70 Dubois St
Newburgh, NY 12550-4851

Call (845) 561-4400 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X034751 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124990965

Nicole Deegan, PA's National Provider Identifier is 1124990965, issued on Sep 22, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newburgh, NY. The record was last updated on Oct 20, 2025.