Jacqueline Chantal Nicolich, RPA-C
NPI #1346780046 in Southampton, New York
Provider Information
- NPI Number
- 1346780046
- Entity Type
- Individual
- Name
- Jacqueline Chantal Nicolich, RPA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- RPA-C
- Enumeration Date
- Feb 28, 2017
- Last Updated
- Apr 21, 2025
Practice Location
- Address
- MEETING HOUSE LANE MEDICAL PRACTICE, PC SURGICAL SPEC.
- Address 2
- 240
- City
- Southampton
- State
- New York
- ZIP Code
- 11968
- Phone
- (631) 726-8717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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