National Provider Identifier
Nicole Marie Radmilovic, PA-C
Nicole Marie Radmilovic, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Penfield, NY and a listed phone number of (585) 276-8280.
Profile Overview
- NPI
- 1770062010
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 08, 2018
- Last Updated
- December 16, 2024
Practice Location
- 2134 Penfield RD
- Penfield, NY 14526-1736
Phone: (585) 276-8280
Mailing Address
- 601 Elmwood Ave Box 655
- Rochester, NY 14642-0001
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1770062010
- Entity Type
- Individual
- Last Name
- Radmilovic
- First Name
- Nicole
- Middle Name
- Marie
- Credential
- PA-C
- Mailing Street Address
- 601 Elmwood Ave Box 655
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 2134 Penfield RD
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1736
- Practice Country
- US
- Practice Phone
- (585) 276-8280
- Enumeration Date
- August 08, 2018
- Last Updated
- December 16, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 16, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)