Individual provider · Type 1 NPI

Katy Anne Nickolaus, PA-C

Medical Physician Assistant · New York, NY

NPI number 1821549924 Active

Practice location

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

Call (212) 639-2000 Map

Mailing address

30 Buttonwood Dr
Dix Hills, NY 11746-4805

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X020308 (NY)

Medical Physician Assistant: Definition to come...

80 other providers at this address

Other medical physician assistant providers in New York

See all in New York →

About NPI 1821549924

Katy Anne Nickolaus, PA-C's National Provider Identifier is 1821549924, issued on Oct 24, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Nov 4, 2016.