Individual provider · Type 1 NPI

Nicole Boucicaut, PA-C

Physician Assistant · New York, NY

NPI number 1508474081 Active

Practice location

160 E 53rd St
New York, NY 10022-5243

Call (516) 563-0139 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1508474081

Nicole Boucicaut, PA-C's National Provider Identifier is 1508474081, issued on Jul 21, 2020. 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 21, 2026.