- Practice location
- 75 Seminary Hill RD, Carmel, NY 10512-1921
- Phone
- 518-952-8142
- Fax
- —
- Last updated
- April 30, 2008
Mary Nickerson is a Physician Assistant based in Carmel, NY. Mary Nickerson practices in Carmel, NY and has the professional credentials of PA. The NPI Number for Mary Nickerson is 1346316478 and holds a License No. 006250 (NY). The current practice location address for Mary Nickerson is 75 Seminary Hill RD, Carmel, NY 10512-1921 and can be reached out via phone at 518-952-8142.
Provider Profile Details
- NPI Number
- 1346316478
- Provider Name
- Mary Nickerson
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Seminary Hill RD, Carmel, NY 10512-1921
- Phone Number
- 518-952-8142
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 28, 2006
- Last Update Date
- April 30, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Seminary Hill RD
Carmel, NY 10512-1921 - City
- Carmel
- State
- New York
- Zip
- 10512-1921
- Phone Number
- 518-952-8142
Provider Business Mailing Address Details
- Address
- Po Box 31094
Hartford, CT 06150-1094 - City
- Hartford
- State
- CT
- Zip
- 06150-1094
License Information
- License Number
- 006250
- License State
- NY
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Carmel, NY
View all Physician Assistants in Carmel →Frequently Asked Questions
What is the NPI number of Mary Nickerson, PA?
The NPI number of Mary Nickerson, PA is 1346316478. It was assigned on November 28, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary Nickerson, PA?
Mary Nickerson, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 006250.
Where does Mary Nickerson, PA practice?
The practice location is 75 Seminary Hill RD, Carmel, NY 10512-1921. The office can be reached at 518-952-8142 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346316478 directly on the NPPES registry website.