Individual provider · Type 1 NPI

Nicole Courtenay, PA

Surgical Physician Assistant · Riverhead, NY

NPI number 1225843667 Active

Practice location

1 Heroes Way
Riverhead, NY 11901-2058

Mailing address

386 Fishel Ave
Riverhead, NY 11901-4724

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1231985 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1225843667

Nicole Courtenay, PA's National Provider Identifier is 1225843667, issued on Feb 12, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Riverhead, NY. The record was last updated on Feb 12, 2025.