Individual provider · Type 1 NPI

Stephanie Marika Nicolette, PA-C

Physician Assistant · Nesconset, NY

NPI number 1508789405 Active

Practice location

15 Diane Ct
Nesconset, NY 11767-1803

Call (631) 742-8545 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X036232 (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 1508789405

Stephanie Marika Nicolette, PA-C's National Provider Identifier is 1508789405, issued on Jul 30, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nesconset, NY. The record was last updated on Jul 30, 2026.