National Provider Identifier
Nycole Brong, PA
Nycole Brong, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 689-1901.
Profile Overview
- NPI
- 1790765741
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 18, 2006
- Last Updated
- July 08, 2007
Practice Location
- 207 Commerce Dr
- Amherst, NY 14228-2302
Phone: (716) 689-1901
Mailing Address
- 462 Grider St
- Erie County Medical Center
- Buffalo, NY 14215-3021
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1790765741
- Entity Type
- Individual
- Last Name
- Brong
- First Name
- Nycole
- Credential
- PA
- Provider Other Last Name
- Agnello
- Provider Other First Name
- Nycole
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 462 Grider St
- Mailing Address Line 2
- Erie County Medical Center
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 898-3525
- Practice Street Address
- 207 Commerce Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228-2302
- Practice Country
- US
- Practice Phone
- (716) 689-1901
- Enumeration Date
- January 18, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 02343795 (NY)