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

Nicholas Adam Fanok, RPA-C

Individual provider Physician Assistant · NPI 1164455564

Nicholas Adam Fanok, RPA-C is a Physician Assistant in Poughkeepsie, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

1910 S Rd
Poughkeepsie, NY 12601-6027
Phone: (845) 454-0120
Fax: (845) 454-6080
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010226-1 (NY)

Record details

NPI number1164455564
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJuly 9, 2006
Last updated in NPPESSeptember 10, 2012

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