Organization · Type 2 NPI
Nico PA PC
Surgical Physician Assistant · Port Washington, NY
NPI number
1497930531
Active
Practice location
14 Kirkwood Rd, 2nd Floor
Port Washington, NY 11050-1437
Mailing address
127 S Broadway
Yonkers, NY 10701-4006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 009001 (NY) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1497930531
Nico PA PC's National Provider Identifier is 1497930531, issued on Jan 8, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Port Washington, NY. The record was last updated on Jan 8, 2008.