Individual
COLE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
31 LOWELL AVE, HOLTSVILLE, NY 11742-1518
(631) 445-9988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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