Individual
NIKOLETT KOCSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
78 PERSHING DR, DERBY, CT 06418-1433
(035) 165-3072
Mailing address
2928 MAIN ST STE 101, GLASTONBURY, CT 06033-1007
(860) 430-1246
(203) 905-6824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10790
NC
363A00000X
Physician Assistant
PA9109051
FL
363AM0700X
Medical Physician Assistant
3730
CT
Other
Enumeration date
09/28/2015
Last updated
07/10/2023
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