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Nicole Barrett

Physician Assistant in Central Islip, NY. Individual provider (NPI-1).

NPI number1104744366
StatusActive
Last updated in NPPESJul 17, 2026

Details

NPI
1104744366
Entity type
Individual (NPI-1)
Name
Nicole Barrett
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2026
Certification date
Jul 17, 2026
Last updated
Jul 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant–NYYes

Practice location

225 Eastview Dr
Central Islip, NY 11722-4539

Phone 631-665-1600

Mailing address

92 Smith St
Lynbrook, NY 11563-1528

Phone 516-316-5587

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