Pastore, Nicole

Pastore, Nicole is an individual health care provider with primary practice located at 7375 Oswego Rd , Liverpool NY 13090-3717. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Pastore, Nicole can be contacted via phone (315) 291-0064.

Contact Information

Primary practice address
7375 Oswego Rd Liverpool NY 13090-3717
Phone: (315) 291-0064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008744-1 New York

Profile Details

NPI number 1285753954
LBN Legal business name Pastore, Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Oct 24th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285753954 NPPES
New York MEDICAID 02882277

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