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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE GRACE GOZAR, PA-C

Active Sole Proprietor

NICOLE GRACE GOZAR, PA-C is a Physician Assistant healthcare provider located in NEW YORK, New York. NPI 1336884782 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · NEW YORK, NY

Registration Details

NPI Number
1336884782
Provider Type
Individual
Gender
Female
NPI Issued
Apr 30, 2022 (4.2755973695874 yrs)
Last Updated
Jul 11, 2024
License
027785-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
130 E 77TH ST FL 11
NEW YORK, NY, 100751851
Browse NY providers · Browse ZIP 10075
Phone
2124346880
Fax
2124342268
Primary Specialty
Physician Assistant
363A00000X

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ROCCO MICHAEL RACANELLI PA 1073509550
MS. THERESA LEE RAYMOND PA-C 1518954635
MRS. YOLANDE THOMAS-ELLIS PA-C 1932197373
DENISE L WINICK PAC 1255320073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.