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

Nicole Josephine Bruzzese, RPA-C

Individual provider Physician Assistant · NPI 1710296686

Nicole Josephine Bruzzese, RPA-C is a Physician Assistant in Long Island City, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010

Practice location Address checks out

2510 30th Ave
Long Island City, NY 11102-2448
Phone: (718) 267-4214
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014240 (NY)

Record details

NPI number1710296686
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2010
Last updated in NPPESSeptember 27, 2010

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