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

Individual provider Physician Assistant · NPI 1285753954

Nicole Pastore, PA is a Physician Assistant in Liverpool, New York. Qualified in 2001, 25 years ago. Practices with Familycare Medical Group PC, a 109-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2007
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

7375 Oswego Rd
Liverpool, NY 13090-3717
Phone: (315) 291-0064
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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 008744-1 (NY)

Record details

NPI number1285753954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 27, 2007
Last updated in NPPESOctober 24, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Familycare Medical Group Pc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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