Nycole Brong is a Physician Assistant in Buffalo, New York. Nycole Brong practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Nycole Brong is 1790765741. The last update date is 2007-07-08.
Nycole Brong's current location address is 462 Grider St, Buffalo, New York. You can contact this provider via phone number 7168983525. The mailing address for Nycole Brong is 462 Grider St, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nycole Brong |
|---|---|
| Address | 462 Grider St, Buffalo, New York |
| Phone Number | 7168983525 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1790765741 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 462 Grider St |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 142153021 |
| Phone Number | 7168983525 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 8156 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2343795 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Nycole Brong by the Centers for Medicare & Medicaid Services?
The Nycole Brong has been assigned the NPI (National Provider Identifier) 1790765741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Nycole Brong is physically located?
The Nycole Brong is situated at the following address: 462 Grider St, Buffalo, NY 142153021.
What is Nycole Brong's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Nycole Brong is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790765741 to Nycole Brong?
The Centers for Medicare & Medicaid Services originally issued the 1790765741 to Nycole Brong on 2006-01-18.
As of what date was the information pertaining to Nycole Brong, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Nycole Brong, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.