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1821549924
KATY ANNE NICKOLAUS
NEW YORK, NY
NPI
1821549924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NY 020308)
Enumeration Date
2016-10-24
Last Update Date
2016-11-04
Business Address
MS. KATY ANNE NICKOLAUS PA-C
160 E 53RD ST
NEW YORK, NY 10022-5243
Phone number: 212-639-2000
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Mailing Address
MS. KATY ANNE NICKOLAUS PA-C
30 BUTTONWOOD DR
DIX HILLS, NY 11746-4805
Phone number: 516-376-4027
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