Individual
DR. JON DEREK NICASSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8791 BARNES LAKE RD STE 101, NORTH HUNTINGDON, PA 15642-3176
(724) 864-9400
(724) 864-8044
Mailing address
8791 BARNES LAKE RD STE 101, NORTH HUNTINGDON, PA 15642-3176
(724) 864-9400
(724) 864-8044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS023552
PA
Other
Enumeration date
03/29/2021
Last updated
02/13/2025
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