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JACQUELINE NICOLICH, RPA-C

RPA-C

Surgical Physician Assistant

NPI: 1346780046IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

020637(NY)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2016

Contact & Hours

Address
MEETING HOUSE LANE MEDICAL PRACTICE, PC SURGICAL SPEC., 240
SOUTHAMPTON, NY 11968

Location

Practice Location

MEETING HOUSE LANE MEDICAL PRACTICE, PC SURGICAL SPEC., SOUTHAMPTON, NY
(631) 726-8717

Quick Facts

NPI
1346780046
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
10

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