Mary Nickerson, PA

NPI #1346316478 in Carmel, New York

Provider Information

NPI Number: 1346316478
Entity Type: Individual
Name: Mary Nickerson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 28, 2006
Last Updated: Apr 30, 2008

Practice Location

Address: 75 SEMINARY HILL RD
City: Carmel
State: New York
ZIP Code: 10512-1921
Phone: (518) 952-8142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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