Individual provider · Type 1 NPI
Nicholas Michael Kostishak Jr., PA-C, ATC
Physician Assistant · New York, NY
Practice location
1000 10th Ave # 2A05
New York, NY 10019-1147
Mailing address
3469 Stephen Ln
Wantagh, NY 11793-3105
Other practice locations
- 3469 Stephen Ln, Wantagh, NY 11793-3105 · (516) 375-6459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | 002702 (NY) |
| Physician Assistant Primary | 363A00000X | 024450 (NY) |
| Athletic Trainer | 2255A2300X | 1134 (AZ) |
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 1487085676
Nicholas Michael Kostishak Jr., PA-C, ATC's National Provider Identifier is 1487085676, issued on Dec 12, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Jan 30, 2023.