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Individual
ERICA JOY NICHOLSON
Active
Individual
ERICA JOY NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018090
NY
363AS0400X
Surgical Physician Assistant
Primary
018090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04073034
—
NY
Enumeration date
11/17/2014
Last updated
03/11/2026
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