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

Miss. Nicole Bella Glushanok, PA

Individual provider Physician Assistant · NPI 1639936164

Miss. Nicole Bella Glushanok, PA is a Physician Assistant in Long Island City, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1041 47th Ave
Long Island City, NY 11101-5416
Phone: (551) 579-9271
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 031429-01 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 031429 (NY)

Record details

NPI number1639936164
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 1, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

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