NICOLE LYNNE GEORGE (NPI# 1356716161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356716161 |
| Entity Type | Individual |
| Full Name | NICOLE LYNNE GEORGE |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
350 South Broadway Hicksville NY 11801-5006 |
| Mailing Address |
55 Water Street 2nd Floor Cred Dept New York NY 10041-0004 |
| Practice Telephone | 5169380100 |
| Practice Fax Number | 5169380120 |
| Mailing Telephone | 6466802888 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 019390 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
019390 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Bayshore Road, North Babylon, NY 117032823 | 6315862700 | 6314918613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285484 | Nicole Cherie George | Social Worker | 266 Gadsden Hwy Ste 102, Birmingham, AL 35235-1022 | 2018-02-19 |
| 1235405457 | Nicole Ann George | Massage Therapist | 3118 Boughter Dr, New Castle, PA 16101-7240 | 2012-04-02 |
| 1346603073 | Nicole George | Student in an Organized Health Care Education/Training Program | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2016-03-31 |
| 1104240233 | Nicole E George | Speech-Language Pathologist | 2380 Lebanon Rd, Clarksville, OH 45113-8326 | 2014-02-10 |
| 1548569551 | Nicole L George | Nurse Practitioner | 6325 Humphreys Blvd, Memphis, TN 38120-2300 | 2011-03-17 |
| 1225342835 | Nicole George | Pharmacist | 101 Clearview Cir, Butler, PA 16001-1576 | 2010-08-06 |
| 1174734552 | Nicole George | Counselor | 4673 Thornton Ave Ste P, Fremont, CA 94536-5663 | 2007-05-25 |
| 1275666992 | Nicole George | Counselor | 395 Ballantyne St, #305, El Cajon, CA 92020-3922 | 2007-03-13 |
| 1821108226 | Nicole S. George | Pediatrics | 5502 Dixie Hwy, Fairfield, OH 45014-4297 | 2006-08-30 |
| 1699794040 | Nicole George | Dietitian, Registered | 950 N 12th St, Milwaukee, WI 53233-1306 | 2006-07-18 |
| Street Address |
350 SOUTH BROADWAY |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053372169 | Haleh G Mohseni | Family Medicine | 350 South Broadway, Hicksville, NY 11801 | 2006-03-29 |
| 1609387471 | Nancy Marie Reyes | Social Worker | 350 South Broadway, Hicksville, NY 11801 | 2017-10-19 |
| 1427583780 | Rachel Yam | Dietitian, Registered | 350 South Broadway, Hicksville, NY 11801-5006 | 2017-04-25 |
| 1225412208 | Jenna M Mckenzie | Registered Nurse | 350 South Broadway, Hicksville, NY 11801 | 2015-07-19 |
| 1649610874 | Raffat Batool | Internal Medicine | 350 South Broadway, Hicksville, NY 11801-5006 | 2013-07-02 |
| 1972843944 | Tatiana Ricketts | Obstetrics & Gynecology | 350 South Broadway, Hicksville, NY 11801-5006 | 2013-02-27 |
| 1588911325 | Ravjeet Singh | Physician Assistant | 350 South Broadway, Hicksville, NY 11801 | 2012-08-11 |
| 1538428560 | Marufa Zaman | Internal Medicine | 350 South Broadway, Hicksville, NY 11801 | 2012-05-11 |
| 1871616870 | Uzma Aslam | Family Medicine | 350 South Broadway, Hicksville, NY 11801 | 2007-04-06 |
| 1548359110 | Pervez A Ahmed | Internal Medicine | 350 South Broadway, Hicksville, NY 11801-5006 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114322161 | Joseph Dimartino | Physician Assistant | 30 Fountain St, Hicksville, NY 11801-3120 | 2014-10-31 |
| 1285689448 | Hamid David Noorollah | Physician Assistant | 400 South Oysterbay Road, Hicksville, NY 11801 | 2006-05-24 |
| 1235316340 | Diane Lynn Liss | Physician Assistant | 87 W Old Country Rd, Hicksville, NY 11801-4003 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434727 | Julia Loren Bartsch | Physician Assistant | 11791 Genesee St, Alden, NY 14004-9713 | 2020-10-16 |
| 1295347078 | Alana Janine Miller | Physician Assistant | 1060 5th Ave # 1b, New York, NY 10128-0104 | 2020-08-21 |
| 1336768647 | Abul Sarker | Physician Assistant | 2 Sagamore Ave, Suffern, NY 10901-7412 | 2020-04-16 |
| 1689200412 | Margaret Ann Sullivan | Physician Assistant | 7011 108th St Apt 4l, Forest Hills, NY 11375-4407 | 2020-03-12 |
| 1376177527 | Anabell Marina Lopez Plaza | Physician Assistant | 12 Berrywood Ct, Bay Shore, NY 11706-2058 | 2020-02-26 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
| 1992348775 | Nafiur Rahman Chowdhury | Physician Assistant | 8268 164th St Rm A3-65, Jamaica, NY 11432-1121 | 2019-10-23 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1578114377 | Matthew Newmark Eisenstein | Physician Assistant | 3260 43rd St Apt 2r, Astoria, NY 11103-2745 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
Please comment or provide details below to improve the information on NICOLE LYNNE GEORGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.