Elliano, Nicole Ann

Elliano, Nicole Ann is an sole proprietor health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Elliano, Nicole Ann can be contacted via phone (631) 686-7654.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777
Phone: (631) 686-7654
Fax: (631) 686-7653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 017982 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017982 New York

Profile Details

NPI number 1710388319
LBN Legal business name Elliano, Nicole Ann
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2014
Last updated Aug 9th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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