Nicole Squillacioti I, PA-C | |
207 Glen Cove Ave, Sea Cliff, NY 11579-1455 | |
(516) 676-1742 | |
Not Available |
Full Name | Nicole Squillacioti I |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 207 Glen Cove Ave, Sea Cliff, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932877701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (New York) | Secondary |
363A00000X | Physician Assistant | 027702 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicole Squillacioti I, PA-C 24 Honved St, Hicksville, NY 11801-2243 Ph: (516) 303-6771 | Nicole Squillacioti I, PA-C 207 Glen Cove Ave, Sea Cliff, NY 11579-1455 Ph: (516) 676-1742 |
Ms. Krysten Anne Raymond, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 Glen Cove Ave, Sea Cliff, NY 11579 Phone: 516-676-1742 Fax: 516-676-9662 | |
Mr. Christian Anthony Lorentzen, R-PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 Glen Cove Ave, Sea Cliff, NY 11579 Phone: 631-265-5858 | |
Melinda Rose Malloy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 207 Glen Cove Ave, Sea Cliff, NY 11579 Phone: 516-676-1742 | |
Lacey Fater, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 Glen Cove Ave, Sea Cliff, NY 11579 Phone: 516-676-1742 | |
Mr. Richard Kushay, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 207 Glen Cove Ave, Sea Cliff, NY 11579 Phone: 516-676-1742 Fax: 516-676-9662 |