Individual provider · Type 1 NPI

Nicole Dellaporta, PA-C

Surgical Physician Assistant · New York, NY

NPI number 1164928941 Active

Practice location

525 E 68th St
New York, NY 10065-4870

Call (212) 932-4000 Map

Mailing address

1575 4th St
West Babylon, NY 11704-4755

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X021928 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1164928941

Nicole Dellaporta, PA-C's National Provider Identifier is 1164928941, issued on Apr 2, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Apr 2, 2018.