Individual provider · Type 1 NPI

Nicole Cimino-Nardolillo, PA

Medical Physician Assistant · Port Jefferson, NY

NPI number 1891071544 Active

Practice location

125 Oakland Ave, Suite 204
Port Jefferson, NY 11777-2130

Fax (631) 686-2526

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X7131506 (NY)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1891071544

Nicole Cimino-Nardolillo, PA's National Provider Identifier is 1891071544, issued on Oct 26, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Jefferson, NY. The record was last updated on Jun 6, 2016.