Individual provider · Type 1 NPI

Nicole Marie Dour, PA-C

Physician Assistant · East Patchogue, NY

NPI number 1467962597 Active

Practice location

100 Hospital Rd Ste 200
East Patchogue, NY 11772-8814

Mailing address

19 Kental Ln
Nesconset, NY 11767-1511

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X021538 (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 1467962597

Nicole Marie Dour, PA-C's National Provider Identifier is 1467962597, issued on Oct 3, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in East Patchogue, NY. The record was last updated on Mar 2, 2020.