National Provider Identifier

Nicholas McGillicuddy

Nicholas McGillicuddy is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 341-0901.

NPI 1770238248Rochester, NYPhysician Assistant

Profile Overview

NPI
1770238248
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 14, 2022
Last Updated
February 01, 2024

Practice Location

  • 1000 South Ave
  • Rochester, NY 14620-2733

Phone: (585) 341-0901

Specialties

  • Physician Assistant (363A00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)

Endpoints

  • nmcgillicuddy287707@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1770238248
Entity Type
Individual
Last Name
McGillicuddy
First Name
Nicholas
Mailing Street Address
1000 South Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-2733
Mailing Country
US
Mailing Phone
(585) 341-0901
Practice Street Address
1000 South Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2733
Practice Country
US
Practice Phone
(585) 341-0901
Enumeration Date
February 14, 2022
Last Updated
February 01, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
February 01, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)