Individual provider · Type 1 NPI

Alexandra Nickerson, PA-C

Physician Assistant · Long Island City, NY

NPI number 1982401618 Active

Practice location

1041 47th Ave
Long Island City, NY 11101-5416

Mailing address

1027 46th Ave Fl 3
Long Island City, NY 11101-5245

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 1982401618

Alexandra Nickerson, PA-C's National Provider Identifier is 1982401618, issued on Feb 28, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Long Island City, NY. The record was last updated on Nov 19, 2025.