Brong, Nycole

Brong, Nycole is an individual health care provider with primary practice located at 207 Commerce Dr , Amherst NY 14228-2302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Brong, Nycole can be contacted via phone (716) 689-1901.

Contact Information

Primary practice address
207 Commerce Dr Amherst NY 14228-2302
Phone: (716) 689-1901
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 008156 New York

Profile Details

NPI number 1790765741
LBN Legal business name Brong, Nycole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790765741 NPPES
New York MEDICAID 02343795

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