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

Joan Elizabeth Nicotra

Individual provider Specialist · NPI 1003513896

Joan Elizabeth Nicotra is a Specialist in Port Jefferson Station, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Phone: (631) 473-4284
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1003513896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 11, 2023

Other providers in Port Jefferson Station