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

Individual provider Medical Physician Assistant · NPI 1497204275

Nicole Siddon, PA-C is a Medical Physician Assistant in Syracuse, New York. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

736 Irving Ave #9100
Syracuse, NY 13210-1687
Phone: (315) 470-7379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1497204275
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2016
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024

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