SearchNew YorkSurgical Physician Assistant

Jacqueline Nicolich, RPA-C

NPI 1346780046 · on the registry since 2017

Practice

Address
Meeting House Lane Medical Practice, Pc Surgical Spec.
240
Southampton, NY 11968
Phone
(631) 726-8717
Fax
(631) 726-8720

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York