Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nico PA PC

Organization Surgical Physician Assistant · NPI 1497930531

Nico PA PC is a Surgical Physician Assistant in Port Washington, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14 Kirkwood Rd 2nd Fl
Port Washington, NY 11050-1437
Phone: (917) 388-7644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 009001 (NY)

Record details

NPI number1497930531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nick Nicoloff — Sole Proprieter · (917) 388-7644
NPI enumeratedJanuary 8, 2008
Last updated in NPPESJanuary 8, 2008
Mailing address127 S Broadway, Yonkers, NY 10701-4006