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Nicole Elliano, PHYSICIAN ASSISTANT
NPI 1710388319 · on the registry since 2014 · sole proprietor
Practice
- Address
- 75 N Country Rd
Port Jefferson, NY 11777 - Phone
- (631) 686-7654
- Fax
- (631) 686-7653
- Organisation at this address
- Port Radiation Therapy Pc
Professional Radiology Pc
Harbor View Medical Services Pc
John T Mather Memorial Hospital
John T Mather Memorial HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 328
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-09
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