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

Individual provider Physician Assistant · NPI 1669627832

Nicole Massaro, R-PAC is a Physician Assistant in West Islip, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
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Practice location Address checks out

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone: (631) 376-3000
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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 012961 (NY)

Record details

NPI number1669627832
Entity typeIndividual (Type 1)
GenderFemale
Credentials R-PAC
Sole proprietorYes
NPI enumeratedDecember 1, 2008
Last updated in NPPESDecember 3, 2008

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